Periampullary carcinoma with situs inversus totalis: case report and review of the literature.
- Author:
Hong FU
1
;
Min-kan GAO
;
Xing-long QU
;
Guo-fang SUN
;
Lei SHEN
Author Information
- Publication Type:Case Reports
- MeSH: Ampulla of Vater; Duodenal Neoplasms; complications; Humans; Middle Aged; Pancreatic Neoplasms; complications; Situs Inversus; complications
- From: Chinese Journal of Gastrointestinal Surgery 2007;10(2):134-137
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the diagnosis and surgical treatment of patients with periampullary carcinoma and situs inversus totalis.
METHODSThe data of a patient with periampullary carcinoma and complete situs inversus totalis, a rare disease treated in our hospital on Mar. 2006, was reported, and relative articles were reviewed.
RESULTSThis patient was diagnosed with stage I to II of periampullary carcinoma. Bilirubin was recovered one week postoperatively. Incomplete adhesive ileus at gastroenteral anastomosis appeared 2 weeks after the operation and was healed by nutritional support, acupuncture, endoscopic drainage and enteral nutrition. From 1936 to 2006, 15 malignant tumors with situs viscerum inversus totalis were reported, only 5 periampullary carcinomas with situs viscerum inversus totalis were reported.
CONCLUSIONSSurgical operation should be considered for malignant tumor patients with situs inversus totalis without contraindication. Attention should be paid to the opposite anatomical structure in this kind of situation.
