Utility of Magnetic Resonance Cholangiopancreatography for the Diagnosis of Cholangiocarcinoma in a Patient with Situs Inversus.
- Author:
Ho Il LEE
1
;
Byung Wook KIM
;
Kyo Young CHOO
;
Byung Oh LEE
;
Ki Young KIM
;
Bo In LEE
;
Hwang CHOI
;
Kyu Yong CHOI
;
Sang Bok CHA
;
In Sik CHUNG
;
Hee Sik SUN
;
Doo Ho PARK
Author Information
1. Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea. bleok@olmh.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Situs inversus;
Cholangiocarcinoma
- MeSH:
Abdominal Pain;
Adenocarcinoma;
Aged;
Cholangiocarcinoma*;
Cholangiopancreatography, Magnetic Resonance*;
Cystic Duct;
Diagnosis*;
Fever;
Genetic Predisposition to Disease;
Heart;
Hepatic Duct, Common;
Humans;
Jaundice;
Laparotomy;
Male;
Sensation;
Situs Inversus*;
Viscera
- From:Korean Journal of Gastrointestinal Endoscopy
2002;24(1):49-51
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Situs inversus is a rare condition with genetic predisposition and is characterized by transposition of both heart and intra-abdominal viscera to the opposite side of the body. Cholangiocarcinoma in this condition has rarely been reported. We present a case of adenocarcinoma of the common hepatic duct proximal to the cystic duct in a 68-year-old male with total situs inversus. The patient presented with complaints of abdominal pain, intermittent fever and chilling sensation without jaundice. Magnetic resonance cholangiopancreatography prior to surgery demonstrated segmental narrowing of the common hepatic duct proximal to the cystic duct and two stones in the proximal portion of the narrowed segment. Open laparotomy was performed to remove the lesion. Cholangiocarcinoma was confirmed pathologically. Magnetic resonance cholangiopancreatography was the only pre-operative diagnostic method which had suggested malignancy in this case.
