Diagnosis and treatment of abdominal diseases accompanying situs inversus: report of 13 cases

VernacularTitle:13例腹腔内脏转位畸形合并腹部疾病的诊断与治疗
Author: Shuai ZUO ; Yongsu MA ; Hongqiao GAO ; Yan ZHUANG ; Yinmo YANG
Keywords: Heterotaxy syndrome; Diagnostic errors; Operative procedures,surgical
From: Chinese Journal of General Surgery 2017;32(7):592-594
CountryChina
Language:Chinese
Abstract: Objective To explore the impact of abdominal situs inversus on the diagnosis and treatment of abdominal diseases.Methods Clinical data and course of 13 abdominal situs inversus cases from January 2012 to December 2016 were retrospectively analyzed.Results A total of 13 cases accounting for 1.5/10 000 of all cases who had abdominal CT were diagnosed situs inversus.6 of them were diagnosed for routine physical examination,4 of them for urinary tract symptoms,and the other 3 for digestive complaints.Conservative treatment or follow-up was prescribed for 8 patients who were asymptomatic and healthy;Five patients received operation,including 2 nephrecctomy,1 pancreatico duodenectomy,1 laparoscopic cholecystectomy,and 1 endoscopic retrograde cholangiopancreatography.All the cases recovered uneventfully.Conclusions Abdominal situs inversus is rare,non-disease entity,usually an incidental finding during clinical examination.It does not affect the therapeutic principle of concurrent primary disease.