Endoscopy and Colonoscopy in a Situs Inversus Totalis Patient: A Case Report.
- Author:
Seung Hyun CHO
1
Author Information
1. Department of Internal Medicine, MEDISCAN Health Promotion Center, Seoul, Korea. shcdoc@naver.com
- Publication Type:Case Report
- Keywords:
Situs inversus totalis;
Endoscopy;
Colonoscopy;
Appendectomy
- MeSH:
Appendectomy;
Colonoscopy;
Endoscopy;
Humans;
Myoma;
Situs Inversus
- From:Korean Journal of Gastrointestinal Endoscopy
2009;38(2):98-102
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Situs inversus totalis (SIT) is a very rare autosomal recessive condition that occurs in 1 out of 8,000~20,000 people. Many endoscopic and colonoscopic procedures are performed in SIT patients, and they are difficult due to a complete left-right reversal of the internal organs. However, a throughout review of the endoscopic and colonoscopic procedures in such patients has never been conducted. A previous appendectomy and a large uterine myoma may make a colonoscopic procedure more difficult due to the adhesion and external compression. We performed endoscopy and colonoscopy without pain or complication in a SIT patient who had undergone appendectomy and had a large uterine myoma. We attribute this good result to careful preparation and sticking to the general principles of colonoscopic procedures.