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Laparoscopic resection for rectal cancer and cholecystectomy for patient with situs inversus totalis.

Fang JF, Zheng ZH, Wei B, Chen TF, Lei PR, Huang JL, Huang LJ, Wei HB - J Minim Access Surg (2015 Jul-Sep)

Bottom Line: Situs inversus totalis (SIT) is a rare congenital anomaly presenting with complete transposition of thoracic and abdominal viscera.She was diagnosed with SIT by performing radiography and abdominal computed tomography scan as a routine preoperative investigation.One year later, she was diagnosed with cholecysticpolyp, and we performed laparoscopic cholecystectomy for her uneventfully.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, China.

ABSTRACT
Situs inversus totalis (SIT) is a rare congenital anomaly presenting with complete transposition of thoracic and abdominal viscera. Laparoscopic surgery for either rectal cancer or gallbladder diseases with SIT is rarely reported in the literature. A 39-year-old woman was admitted to hospital owing to rectal cancer. She was diagnosed with SIT by performing radiography and abdominal computed tomography scan as a routine preoperative investigation. We performed laparoscopic resection for rectal cancer successfully in spite of technical difficulties caused by abnormal anatomy. One year later, she was diagnosed with cholecysticpolyp, and we performed laparoscopic cholecystectomy for her uneventfully. With this case, we believe that performance by an experienced laparoscopic surgeon, either laparoscopic resection for rectal cancer or cholecystectomy with SIT is safe and feasible.

No MeSH data available.


Related in: MedlinePlus

Computed tomography scan revealed situs inversus.
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Figure 1: Computed tomography scan revealed situs inversus.

Mentions: A 39-year-old woman, with no previous medical history, was admitted to hospital in May 2012 because of bloody stool for 1 year. Physical examination revealed apical impulse located in the 5th intercostal space, right midclavicular line. Chest radiography showed dexiocardia. Body mass index was 19.7 kg/m2. Serum carcinoembryonic antigen and cancer antigen 19–9 level were both normal. Colonoscopy demonstrated a mass 5 cm away from the anal verge, and biopsy's result confirmed a moderately differentiated rectal adenocarcinoma. Abdominal computed tomography (CT) scan revealed situs inversus [Figure 1] and rectal cancer invading through the muscularis propria with no obvious lymph node enlargement. The preoperative staging of rectal cancer was cT3N0M0, Stage IIA. After two courses of “XELOX” neoadjuvant therapy, the rectal cancer became smaller obviously.


Laparoscopic resection for rectal cancer and cholecystectomy for patient with situs inversus totalis.

Fang JF, Zheng ZH, Wei B, Chen TF, Lei PR, Huang JL, Huang LJ, Wei HB - J Minim Access Surg (2015 Jul-Sep)

Computed tomography scan revealed situs inversus.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499930&req=5

Figure 1: Computed tomography scan revealed situs inversus.
Mentions: A 39-year-old woman, with no previous medical history, was admitted to hospital in May 2012 because of bloody stool for 1 year. Physical examination revealed apical impulse located in the 5th intercostal space, right midclavicular line. Chest radiography showed dexiocardia. Body mass index was 19.7 kg/m2. Serum carcinoembryonic antigen and cancer antigen 19–9 level were both normal. Colonoscopy demonstrated a mass 5 cm away from the anal verge, and biopsy's result confirmed a moderately differentiated rectal adenocarcinoma. Abdominal computed tomography (CT) scan revealed situs inversus [Figure 1] and rectal cancer invading through the muscularis propria with no obvious lymph node enlargement. The preoperative staging of rectal cancer was cT3N0M0, Stage IIA. After two courses of “XELOX” neoadjuvant therapy, the rectal cancer became smaller obviously.

Bottom Line: Situs inversus totalis (SIT) is a rare congenital anomaly presenting with complete transposition of thoracic and abdominal viscera.She was diagnosed with SIT by performing radiography and abdominal computed tomography scan as a routine preoperative investigation.One year later, she was diagnosed with cholecysticpolyp, and we performed laparoscopic cholecystectomy for her uneventfully.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, China.

ABSTRACT
Situs inversus totalis (SIT) is a rare congenital anomaly presenting with complete transposition of thoracic and abdominal viscera. Laparoscopic surgery for either rectal cancer or gallbladder diseases with SIT is rarely reported in the literature. A 39-year-old woman was admitted to hospital owing to rectal cancer. She was diagnosed with SIT by performing radiography and abdominal computed tomography scan as a routine preoperative investigation. We performed laparoscopic resection for rectal cancer successfully in spite of technical difficulties caused by abnormal anatomy. One year later, she was diagnosed with cholecysticpolyp, and we performed laparoscopic cholecystectomy for her uneventfully. With this case, we believe that performance by an experienced laparoscopic surgeon, either laparoscopic resection for rectal cancer or cholecystectomy with SIT is safe and feasible.

No MeSH data available.


Related in: MedlinePlus