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Fig. 14B. —26-year-old woman with malrotation and complex congenital heart disease associated with polysplenia syndrome. Axial contrast-enhanced CT scans show findings of polysplenia, including left inferior vena cava with hemiazygos continuation (V, A) and short pancreas (P, A). One spleen is seen in A (S), but multiple additional spleens were present on more cephalad images (not shown). Note that feeding tube extending into proximal small bowel (arrowheads) never crosses midline, consistent with malrotation. Superior mesenteric artery—superior mesenteric vein relationship is normal in this patient. Ascites is due to congestive heart failure.