Removal of Choledocholith by Endoscopic Retrograde Cholangiopancreatography in a Situs Invsersus Patient.
10.4166/kjg.2015.66.6.354
- Author:
Seong Jae YEO
1
;
Jun HEO
;
Chang Min CHO
;
Min Kyu JUNG
;
Soo Young PARK
;
Myung Hi KIM
;
Sangwon LEE
;
Nari YU
Author Information
1. Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. hero797@hanmail.net
- Publication Type:Case Reports
- Keywords:
Situs inversus;
Endoscopic retrograde cholangiopancreatography;
Choledocholithiasis
- MeSH:
Aged;
Balloon Occlusion;
Cholangiopancreatography, Endoscopic Retrograde;
Gallstones/complications/*diagnosis/therapy;
Humans;
Male;
Situs Inversus/complications/*diagnosis;
Stents;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2015;66(6):354-358
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Situs inversus is an extremely rare autosomal recessive disease with left-right inversion of internal organs. It carries technical difficulties in diagnostic or therapeutic procedures. There have been a few case reports on stone extraction by ERCP in situs inversus patients. ERCP techniques in situs inversus can be classified into conventional method and mirror image method. In mirror image method, the procedure is performed with the patient in the right lateral decubitus position and the endoscopist on the patient's left side. Until now, there is no consensus about which method is better. Herein, we report an unusual case of choledocholithiasis in a patient with situs inversus who underwent ERCP for stone extraction by both conventional method and mirror image method.