Revista Biomédica Revisada Por Pares
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Palabras clave: coledocolitiasis, situs Inversus, colelitiasis
Situs inversus totalis (SIT) is a rare condition, in which there is transposition of the thoraco-abdominal organs. This situation leads to diagnostic and therapeutic difficulties in patients with acute surgical abdomen. The objective of this report is to present the case of a patient who presented with colonic pain in the epigastrium and left hypochondrium, in which the diagnosis of SIT, cholelithiasis and choledocholithiasis was reached after the respective imaging studies. Once the diagnosis was made, treatment was performed through retrograde endoscopic cholangiopancreatography (ERCP) and subsequent surgical exploration of bile ducts. Both procedures were failed due to technical difficulties generated by the patient's condition. In conclusion, in spite of the report of successful cases in the literature of ERCP and surgical treatment of the biliary tract in SIT, there may be situations that do not allow a successful approach, so meticulous surgical planning and the use of support methods are necessary In the management of these patients
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Situs inversus totalis (SIT) is a rare condition, in which there is transposition of the thoraco-abdominal organs. This situation leads to diagnostic and therapeutic difficulties in patients with acute surgical abdomen. The objective of this report is to present the case of a patient who presented with colonic pain in the epigastrium and left hypochondrium, in which the diagnosis of SIT, cholelithiasis and choledocholithiasis was reached after the respective imaging studies. Once the diagnosis was made, treatment was performed through retrograde endoscopic cholangiopancreatography (ERCP) and subsequent surgical exploration of bile ducts. Both procedures were failed due to technical difficulties generated by the patient's condition. In conclusion, in spite of the report of successful cases in the literature of ERCP and surgical treatment of the biliary tract in SIT, there may be situations that do not allow a successful approach, so meticulous surgical planning and the use of support methods are necessary In the management of these patients
Autores:
Jerson Francisco Morales-Rodríguez[1], Estefania Corina Cotillo[2], Oscar Moreno-Loaiza[3]
Citación: Morales-Rodríguez JF, Corina Cotillo E, Moreno-Loaiza O. Surgical treatment of choledocholithiasis in a patient with situs inversus totalis: a case report and literature review. Medwave 2017 Jul;17(6):e7002 doi: 10.5867/medwave.2017.06.7002
Fecha de envío: 24/4/2017
Fecha de aceptación: 8/7/2017
Fecha de publicación: 26/7/2017
Origen: no solicitado
Tipo de revisión: con revisión por tres pares revisores externos, a doble ciego
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