Vishwanath Reddych Venkata, Prakash Anand
Surgical Gastroenterology, SGPGIMS, Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2019 Aug 28;12(8):e231644. doi: 10.1136/bcr-2019-231644.
Solid pseudopapillary neoplasm (SPN) in a case of situs inversus totalis (SIT) is a rare occurrence with only one case being reported until now in the literature. SIT presents a technical challenge for the operating surgeon in view of the reversed anatomy hence the operating surgeon should orient himself of the altered anatomy of SIT before contemplating surgery. To the best of our knowledge, spleen-preserving distal pancreatectomy in a patient of SPN with SIT has not been reported until now. We are reporting a case of SPN with SIT who underwent spleen-preserving distal pancreatectomy.
全内脏转位（SIT）患者发生实性假乳头状肿瘤（SPN）的情况极为罕见，迄今为止，文献中仅报道过1例。鉴于解剖结构反转，SIT给手术医生带来了技术挑战，因此手术医生在考虑手术前应熟悉SIT改变后的解剖结构。据我们所知，此前尚未有关于SIT合并SPN患者行保留脾脏的远端胰腺切除术的报道。我们现报告1例SIT合并SPN且接受了保留脾脏的远端胰腺切除术的病例。
