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腹腔镜胆囊切除术治疗全内脏转位患者的左侧胆囊。

Laparoscopic cholecystectomy for left sided gallbladder in situs inversus totalis.

作者信息

Butt Muhammad Qasim, Chatha Sohail Saqib, Ghumman Adeel Qamar, Rasheed Asif, Farooq Mahwish, Ahmed Javed

机构信息

Department of Surgery, Combined Military Hospital, Kohat.

Department of Surgery, Military Hospital, Rawalpindi.

出版信息

J Coll Physicians Surg Pak. 2015 Apr;25 Suppl 1:S22-3.

Abstract

Situs inversus totalis is a rare condition affecting intra abdominal and intra thoracic organs. Situs inversus usually remains asymptomatic. Life expectancy is normal in the absence of rare cardiac abnormalities. Left sided gallbladder can occur even without situs inversus totalis. Cholelithiasis is not more common in patients with situs inversus than the general population. However, these patients may pose a diagnostic difficulty. An ultrasound scan can confirm the presence of gallstones and the left-sided gallbladder. Here we present the case of a 40-year female with this diagnosis who was diagnosed on abdominal scanning and underwent laparoscopic cholecystectomy for left sided cholelithiasis.

摘要

全内脏转位是一种影响腹内和胸内器官的罕见病症。内脏转位通常没有症状。在没有罕见心脏异常的情况下,预期寿命正常。即使没有全内脏转位,也可能出现左侧胆囊。内脏转位患者患胆石症的几率并不比普通人群更高。然而,这些患者可能会带来诊断困难。超声扫描可以确认胆结石和左侧胆囊的存在。在此,我们报告一例40岁女性患者,经腹部扫描确诊为此病,并因左侧胆石症接受了腹腔镜胆囊切除术。

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