A 32-year-old man was referred for evaluation of abnormal ndings obtained at a regular health check-up. An enlarged but on-tender liver was palpable in the upper left abdomen. In abdomnal computed tomography, multiple divided spleens (black arrow) nd a stomach (white arrow) were seen in the right abdomen Fig. 1). A liver (white arrow head) in the median to left abdomen nd gallbladder (black arrow head) in the middle upper abdomen ere visualized (Fig. 2). Inferior vena cava interruption and coninuation of an azygous vein were also noted. A right sided small