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Fig. 13A. —27-year-old woman with unsuspected polysplenia variant and malrotation who presented with abdominal pain, fever, and leukocytosis. Axial contrast-enhanced CT scans show multiple spleens in left upper quadrant (arrows, A), superior mesenteric artery—superior mesenteric vein inversion (arrowhead, B), and intestinal malpositioning. Inflamed appendix was seen on more caudal images (not shown).





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