Bielecki Krzysztof, Gregorczyk Mariusz, Baczuk Lech
Clinical Department of General and Gastroenterological Surgery, Postgraduate Medical Education Centre, Warsaw, Poland.
Wiad Lek. 2006;59(9-10):707-9.
Three examples of patients with complete visceral situs inversus are presented from nineteen years of clinical experience. The first case concerns a 16-year-old woman, who suffered from appendicitis and was operated on one day after the admission. The second case presents a 63-year-old woman admitted and operated on because of colorectal carcinoma. The last case involves a 66-year-old man taken in and operated on due to stomach cancer. A surgical patient with complete visceral situs inversus forces an operator to abandon currently used operating standards. This situation should especially mobilize operator's watchfulness while performing the procedure. Non-typical circumstances occurring during operation increase frequency of incidence of intra-operative complications.
通过19年的临床经验,列举了3例完全性内脏反位患者的病例。第一个病例是一名16岁女性,因阑尾炎入院,入院后一天接受了手术。第二个病例是一名63岁女性,因结肠直肠癌入院并接受了手术。最后一个病例是一名66岁男性,因胃癌入院并接受了手术。一名患有完全性内脏反位的外科手术患者迫使手术医生放弃当前使用的手术标准。这种情况尤其应在手术过程中提高手术医生的警惕性。手术中出现的非典型情况会增加术中并发症的发生率。