Department of Surgery, Birecik Government Hospital, Sanliurfa, Turkey.
Diagn Interv Radiol. 2009 Sep;15(3):188-92.
Situs inversus totalis is a rare anomaly that is characterized by mirror image anatomy of the abdominal and thoracic organs. This anomaly is often discovered incidentally in adults during an emergent surgical procedure or by radiologic investigations performed for other medical reasons. Cecal volvulus is a surgical emergency requiring urgent laparotomy. Coexistence of these two abnormalities poses a challenge in establishing a definitive diagnosis because of the alteration of normal anatomy; this may cause a delay in emergent surgical intervention. We present a case of situs inversus totalis complicated by cecal volvulus. In our case, a different type of pancreatic malrotation, which we called "folded", also accompanied these abnormalities. To our knowledge, this is the first case in the literature involving situs inversus totalis, cecal volvulus, and a "folded" type of pancreatic malrotation.
全内脏反位是一种罕见的异常，其特征为腹部和胸部器官的镜像解剖。这种异常通常在成年人进行紧急手术或因其他医疗原因进行放射学检查时偶然发现。盲肠扭转是一种需要紧急剖腹手术的外科急症。由于正常解剖结构的改变，这两种异常的并存给明确诊断带来了挑战；这可能导致紧急外科干预的延迟。我们报告了一例全内脏反位并发盲肠扭转的病例。在我们的病例中，还伴有一种不同类型的胰腺旋转不良，我们称之为“折叠”。据我们所知，这是文献中首例涉及全内脏反位、盲肠扭转和“折叠”型胰腺旋转不良的病例。
