成功治疗完全 situs inversus totalis 患者的异位肾结石：一例罕见病例报告。
Successful management of ectopic kidney stones in a patient with situs inversus totalis: a rare case report.
机构信息
Faculty of Medicine, Tartous University, Tartus, Syrian Arab Republic.
MSc Global Public Health Nutrition, School of Life Sciences, University of Westminster, London, UK.
出版信息
BMC Urol. 2022 Nov 10;22(1):179. doi: 10.1186/s12894-022-01137-x.
BACKGROUND
Situs inversus totalis is a very rare congenital anatomical variation, in which all thoracic and abdominal organs are right-left inverted. This condition is associated with an increased risk of organ malformations including ectopic kidney, which is a very rare combination.
CASE PRESENTATION
A 56-year-old male presented with colicky left iliac pain associated with nausea, vomiting, and irritative lower urinary symptoms. The patient has a medical history of recurrent lower urinary infections and a family history of situs inversus totalis. Radiological images demonstrated dextrocardia, situs inversus totalis of all the abdominal organs, and an ectopic pelvic kidney on the left side, with 4 stones inside it. Left nephrectomy was performed due to extensive renal damage. At discharge and during follow-up, the patient's condition was satisfactory and stable.
CONCLUSIONS
The ectopic kidney may present diagnostic and therapeutic challenges when associated with situs inversus.
背景
全内脏反位是一种非常罕见的先天性解剖变异，所有的胸部和腹部器官均左右反转。这种情况与器官畸形的风险增加有关，包括异位肾，这是一种非常罕见的组合。
病例介绍
一名 56 岁男性因左侧髂窝绞痛伴恶心、呕吐和刺激性下尿路症状就诊。患者有复发性下尿路感染病史和全内脏反位家族史。影像学图像显示右位心、所有腹部器官全内脏反位和左侧异位盆腔肾，其内有 4 颗结石。由于广泛的肾损伤，行左肾切除术。出院和随访期间，患者情况良好且稳定。
结论
当异位肾与全内脏反位相关时，可能会带来诊断和治疗方面的挑战。
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