腹腔镜胆囊切除术治疗内脏转位患者的急性胆囊炎

Laparoscopic cholecystectomy for acute cholecystitis in patient with situs viscerum inversus.

作者信息

Kirshtein Boris, Lantsberg Sofie, Mizrahi Solly, Lantsberg Leonid

机构信息

Department of Surgery A, Soroka University Hospital and Faculty of the Health Sciences Ben Gurion University of the Negev Beer Sheva, Israel.

出版信息

Surg Laparosc Endosc Percutan Tech. 2006 Jun;16(3):169-71. doi: 10.1097/00129689-200606000-00011.

DOI:10.1097/00129689-200606000-00011

PMID:16804462

Abstract

Situs viscerum inversus is a rare condition with perfect mirror image organs position. Despite the well-described existence of this condition, the implication for the treating of emergency pathology can be important following to the difficult interpretation of signs and symptoms. We report a case of acute cholecystitis in patients with known dextrocardia who was successfully treated by laparoscopic cholecystectomy. The diagnostic problems and surgical technique pitfalls are discussed.

摘要

内脏反位是一种罕见的情况，器官位置呈完美镜像。尽管这种情况已被充分描述，但由于对体征和症状的解读困难，其对急诊病理学治疗的影响可能很重要。我们报告一例已知右位心患者发生急性胆囊炎，经腹腔镜胆囊切除术成功治疗。文中讨论了诊断问题和手术技术陷阱。