Hu Yi, Zeng Hao, Pan Xiao-Lin, Lv Nong-Hua, Liu Zhi-Jian, Hu Yang
Yi Hu, Hao Zeng, Xiao-Lin Pan, Nong-Hua Lv, Zhi-Jian Liu, Yang Hu, Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
World J Gastroenterol. 2015 May 14;21(18):5744-8. doi: 10.3748/wjg.v21.i18.5744.
Situs inversus viscerum (SIV) is a rare congenital condition characterized by complete transposition of all viscera. This anatomical pathology makes endoscopic retrograde cholangiopancreatography (ERCP) technically difficult. We report a new case of a 70-year-old Chinese male with total SIV who had obstructive jaundice. Magnetic resonance cholangiopancreatography demonstrated a number of stones in the gallbladder and common bile duct (CBD). Therapeutic ERCP was performed to relieve biliary obstruction and remove the CBD stones. This procedure started with the patient in a supine position and the endoscopist at the left side of the table. When the papilla was maintained, the patient was repositioned to a prone position and standard endoscopic sphincterotomy and endoscopic papillary balloon dilatation procedures were conducted. ERCP was performed successfully and relevant complications did not occur in this patient. We also present a review of the literature published between 1985 and 2014 in the PubMed and EMBASE databases. There were eight published cases during this period, with one each from America, Finland, India, Italy, South Korea and Pakistan, and two from Spain. Our case is the first reported in China.
内脏反位（SIV）是一种罕见的先天性疾病，其特征是所有内脏完全转位。这种解剖学上的病理状况使得内镜逆行胰胆管造影术（ERCP）在技术上具有挑战性。我们报告一例新病例，一名70岁的中国男性，患有完全性SIV并伴有梗阻性黄疸。磁共振胰胆管造影显示胆囊和胆总管（CBD）有多处结石。进行了治疗性ERCP以缓解胆道梗阻并取出CBD结石。该操作开始时患者仰卧，内镜医师位于手术台左侧。当找到乳头后，将患者重新定位为俯卧位，并进行标准的内镜括约肌切开术和内镜乳头球囊扩张术。该患者成功进行了ERCP，且未发生相关并发症。我们还对1985年至2014年间在PubMed和EMBASE数据库中发表的文献进行了综述。在此期间共发表了8例病例，分别来自美国、芬兰、印度、意大利、韩国和巴基斯坦各1例，西班牙2例。我们的病例是中国首例报道。
