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为一名完全性内脏反位的成年患者实施腹腔镜阑尾切除术。

Laparoscopic appendectomy in an adult patient with situs inversus totalis.

作者信息

Hoang Trung V, Hoang Huan T, Vo Hoai T, Chansomphou Vichit

机构信息

Department of Radiology, Thien Hanh Hospital, Buon Ma Thuot, Vietnam.

Department of Radiology, Tam Tri Nha Trang General Hospital, Nha Trang, Vietnam.

出版信息

J Surg Case Rep. 2023 Mar 14;2023(3):rjad134. doi: 10.1093/jscr/rjad134. eCollection 2023 Mar.

Abstract

Left-sided appendicitis is usually caused by situs inversus totalis or midgut malrotation. Clinical and imaging diagnoses have been presented relatively fully in the literature. However, this is a rare condition, and each related case should be further reported to help the day-to-day clinician better investigate and understand. Therefore, in this paper, we present a case of left-sided acute appendicitis in an adult male patient with situs inversus totalis. In addition, we also discuss the laparoscopic technique of the left-sided appendectomy as it is technically more difficult because of the mirror nature of the anatomy.

摘要

左侧阑尾炎通常由全内脏转位或中肠旋转不良引起。临床和影像学诊断在文献中已有较为充分的阐述。然而,这是一种罕见病症,每例相关病例都应进一步报告,以帮助临床医生在日常工作中更好地进行调查和理解。因此,在本文中,我们报告了一例患有全内脏转位的成年男性患者的左侧急性阑尾炎病例。此外,我们还讨论了左侧阑尾切除术的腹腔镜技术,因为由于解剖结构的镜像性质,该技术在操作上更具难度。

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