Therapeutic endoscopic retrograde cholangiopancreatography in a patient with situs inversus totalis

Abstract

Situs inversus totalis is a rare congenital anomaly characterized by transposition of the abdominal and thoracic organs in a mirror image reversal. Therapeutic endoscopic retrograde collangiopancreatography with a regular endoscope is much more difficult due to the variation of the bile duct axis. In this article, we present a case of a successful endoscopic retrograde collangiopancreatography in a situs inversus totalis patient in the right lateral decubitus position rather than the regular position, in which the endoscopicretrograde collangiopancreatography procedure was unsuccessful.

Keywords

• Situs inversus totalis,endoscopic retrograde collangiopancreatography,bile duct stone

Situs inversus totalisli bir hastada terapötik endoskopik retrograd kolanjiyopankreatografi

Öz

Situs inversus totalis, torasik ve abdominal organların ayna hayali şeklinde yer değitirmesi ile karakterize nadir konjenital bir anomalidir. Situs inversus totalisli hastalarda safra kanalı ekseninin değişimi nedeniyle sıradan bir endoskop ile teröpatik endoskopik retrograt kolanjiopankreatografi endoskopik retrograd  olanjiyopankreatografi yapmak çok daha zor olmaktadır. Bu yazıda, situs inversus totalisli bir hastada endoskopik retrograd kolanjiyopankreatografi işlemi olağan poziyonunda başarsız olmasına karşın sağ lateral dekübitis pozisyonda başarılı endoskopik retrograd kolanjiyopankreatografi işlemi yapılan olguyu sunuyoruz.

Anahtar Kelimeler

• Situs inversus totalis,koledok taşı,ERKP,çoklu metalik stent

Kaynakça

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