Cacciaguerra S, Gioviale M, Di Benedetto A
Cattedra di Chirurgia Pediatricà, Universita di Catania Policlinico Universitario, Via S. Sofia, Catania, Italy.
Pediatr Surg Int. 1998 Sep;13(7):531-2. doi: 10.1007/s003830050393.
Partial situs inversus is not necessarily symptomatic; however, recent experience with a child affected by this condition and polysplenia led us to reconsider the approach to such cases. The collection of as much pre operative information as possible is desirable in order to delineate a correct surgical approach. In particular, the presence of gastrointestinal anomalies, e.g., duodenal dilatation, should be assessed individually, since they are virtually always pathological and not necessarily related to the situs inversus. At laparotomy all of the intra-abdominal contents should be carefully assessed.
部分内脏反位不一定有症状；然而，近期一位患有这种情况和多脾症的儿童的病例让我们重新思考对此类病例的处理方法。为了确定正确的手术方法，尽可能收集术前信息是很有必要的。特别是，应单独评估胃肠道异常情况，例如十二指肠扩张，因为它们几乎总是病理性的，且不一定与内脏反位相关。在剖腹手术时，应对所有腹腔内的脏器进行仔细评估。
