Chandraraj S
J Anat. 1976 Nov;122(Pt 2):377-88.
The abnormal findings in a case of Situs inversus totalis are described. The duodenum was placed abnormally and retained its primitive mesentery. The proximal 22 in of jejunum were retroperitoneal. The attachment of the root of the mesentery to the posterior abdominal wall had a 7-shaped appearance, and there was a partial failure of the primitive mesocolon to adhere to the posterior abdominal wall. The common hepatic artery arose from the superior meseneric artery, which also provided a branch to the proximal jejunal loop. The right vagus nerve was found anterior to the oesophagus at the oesophageal hiatus in the diaphragm, and the left vagus was posterior. A double ureter was present on the right side. The findings are discussed in relation to mid-gut development.
描述了一例完全性内脏反位病例的异常发现。十二指肠位置异常并保留其原始系膜。空肠近端22英寸位于腹膜后。肠系膜根部与后腹壁的附着呈7字形外观，原始结肠系膜部分未能附着于后腹壁。肝总动脉起自肠系膜上动脉，肠系膜上动脉还向空肠近端袢发出一分支。在膈肌食管裂孔处，发现右迷走神经位于食管前方，左迷走神经位于后方。右侧有双输尿管。结合中肠发育对这些发现进行了讨论。
