Djohan R S, Rodriguez H E, Wiesman I M, Unti J A, Podbielski F J
Department of Surgery, Catholic Health Partners, Chicago, Illinois, USA.
JSLS. 2000 Jul-Sep;4(3):251-4.
Situs inversus totalis is an uncommon anatomic anomaly that complicates diagnosis and management of acute abdominal pain. Expedient diagnosis of common intraperitoneal disease processes such as biliary colic, acute appendicitis and diverticulitis is often delayed as a result of seemingly incongruous physical findings. We present the case of a young woman with prior emergency room visits for complaints of a vague left upper quadrant abdominal pain. An ultrasound performed on her third presentation revealed visceral situs inversus with cholelithiasis and dilated intra- and extrahepatic biliary ducts. Standard laparoscopic cholecystectomy and cholangiography with a mirror-image surgical approach was performed successfully and without complication.
全内脏反位是一种罕见的解剖学异常，会使急性腹痛的诊断和处理变得复杂。由于体格检查结果看似不协调，常见的腹膜内疾病过程（如胆绞痛、急性阑尾炎和憩室炎）的快速诊断常常延迟。我们报告一例年轻女性病例，她曾因左上腹隐痛多次前往急诊室就诊。在她第三次就诊时进行的超声检查显示内脏反位，伴有胆结石和肝内外胆管扩张。采用镜像手术方法成功实施了标准腹腔镜胆囊切除术和胆管造影，且无并发症发生。
