Gatta Emanuele, Schiavon Sara, Pagliariccio Gabriele, Persechini Perla, Carbonari Luciano
Department of Vascular Surgery, Azienda Ospedali Riuniti Ancona, 60127 Ancona, Italy.
J Surg Case Rep. 2020 Jul 31;2020(7):rjaa197. doi: 10.1093/jscr/rjaa197. eCollection 2020 Jul.
Situs inversus totalis (SIT) refers to a mirror-image reversal of the internal organ position. The coexistence of abdominal aortic aneurysm and SIT is extremely rare; very short series have been reported; therefore its prevalence has never been estimated. The presence of anatomical anomalies could increase operative risk. The authors describe a case of successfully repaired pararenal abdominal aortic aneurysm with a right retroperitoneal approach in situs inversus totalis.
全内脏反位(SIT)是指内脏器官位置呈镜像反转。腹主动脉瘤与SIT并存极为罕见;仅有非常简短的病例系列报道;因此其患病率从未得到过估计。解剖结构异常的存在可能会增加手术风险。作者描述了一例通过右腹膜后入路成功修复全内脏反位患者肾旁腹主动脉瘤的病例。