# Heterotaxy syndrome – An unusual cause for bowel obstruction in an adult

## TL;DR

A 39-year-old woman with no prior health issues experienced bowel obstruction due to a rare condition called heterotaxy syndrome, which causes abnormal organ positioning.

## Contribution

This case highlights heterotaxy syndrome as an unusual cause of bowel obstruction in an adult, emphasizing the importance of imaging for diagnosis.

## Key findings

- The patient's CT scan revealed left isomerism with malrotation and volvulus.
- Heterotaxy syndrome was identified as the underlying cause of the bowel obstruction.
- Imaging studies are critical for diagnosing and managing this complex condition.

## Abstract

Heterotaxy syndrome, also known as situs ambiguous, is a spectrum of pathology due to loss of the normal right-to-left asymmetry of the thoraco-abdominal organs. This report describes the case of a 39-year-old female, previously well, who presented with bowel obstruction. CT showed features of left isomerism, with malrotation and volvulus.

Heterotaxy syndrome consists of cardiac and non-cardiac manifestations. Imaging studies play a crucial role in the individualised management of the patient.