Fig. 2

Intraoperative images showing the tip of the spleen and stomach on the right side, duodenum on the left side of his abdomen confirming situs inversus totalis. Also seen is midgut volvulus and reverse rotation (anticlockwise: green arrow) (a and b). Unusual appearance suggestive of either fibrous or fatty infiltration of intestines (red arrow) is seen. A Ladd’s procedure (c)