Aparato Digestivo, Complejo Hospitalario Universitario de A Coruña, España.
Medicina Interna, Complejo Hospitalario Universitario de A Coruña.
Rev Esp Enferm Dig. 2022 Mar;114(3):176-177. doi: 10.17235/reed.2021.8374/2021.
An 85-year-old female with situs inversus totalis was admitted due to obstructive jaundice, secondary to multiple choledocholithiasis and distal biliary stenosis due to adenocarcinoma of the head of the pancreas, with duodenal infiltration and metastatic liver disease. An endoscopic retrograde cholangiopancreatography (ERCP) was attempted in the supine position but bile duct cannulation was not possible due to duodenal infiltration. Finally, a palliative biliary stent was placed percutaneously, with resolution of the jaundice.
一位 85 岁女性，患有完全性内脏反位，因胰头腺癌导致多发胆总管结石和远端胆管狭窄并伴有十二指肠浸润和肝转移而出现阻塞性黄疸入院。曾尝试在仰卧位行经内镜逆行胰胆管造影（ERCP），但由于十二指肠浸润，胆管插管未能成功。最终，经皮放置了姑息性胆道支架，黄疸消退。
