PEDIATRIC Section 8: SOLID Organ GI (Polysplenia and Asplenia)

Question 1

Difference between Right sided and LEft sided Heterotaxia

Answer 1

Question 2

Describe the Aorta/IVC in heterotaxia

Answer 2

The way I keep it straight is by remembering that the IVC is usually on the right. If you are “bilateral left” then you don’t have a regular IVC — hence the azygos continuation. Then I just remember that the other one (flipped IVC/Aorta) is the other one.

Question 3

Right isomerism shows what?

Answer 3

Question 4

Left isomerism shows what?

Answer 4

Question 5

There are 3 vocab words that start with the word “Situs.”

Answer 5

Situs Solitus
Situs Inversus Totalis
Situs Ambiguus

Question 6

Instead ofjust saying normal, you can be an asshole and say “Situs ___”?

Answer 6

Situs Solitus

Question 7

TOTAL mirror image transposition of the abdominal and thoracic
stuff

Answer 7

Situs Inversus Totalis

Question 8

This is a tricky way of saying Heterotaxy. of which you can
have left or right “isomerism.”

Answer 8

Situs Ambiguus (Ambiguous)

Question 9

RIGHT Gastric Bubble
Larger part of Liver on Left
Minor fissure on Left
Inverted Bronchial Pattern
Associated with Primary Ciliary Dyskinesia

Answer 9

Question 10

What is this?

Answer 10

Question 11

Absent Minor Fissures
Interrupted IVC
Polysplenia
Biliary Atresia (10 %)

Answer 11

Visceral Heterotaxy with Thoracic Left Isomerism