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1
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Azadbakht M, Azadbakht S, Daniali S. Biliary stone in patient with situs inversus totalis. Int J Surg Case Rep 2024; 122:110073. [PMID: 39067095 PMCID: PMC11332169 DOI: 10.1016/j.ijscr.2024.110073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2024] [Revised: 07/16/2024] [Accepted: 07/22/2024] [Indexed: 07/30/2024] Open
Abstract
INTRODUCTION AND SIGNIFICANCE Situs inversus totalis is characterized by the complete transposition of thoracic and abdominal viscera. Individuals can live asymptomatically with this condition; however, it may be associated with certain abnormalities of the organs involved. CASE PRESENTATION Herein, we present a case of a situs inversus totalis woman presented with choledocholithiasis. Elective laparoscopic cholecystectomy was performed on the patient with intraoperative modifications. The patient was discharged in a healthy condition. CLINICAL DISCUSSION Several case reports have documented the typical presentation of cholelithiasis, which is characterized by pain in the left upper quadrant and epigastric region. Our patient exhibited similar symptoms and was diagnosed with choledocholithiasis. CONCLUSIONS Diagnostic and therapeutic management of morbidities in SIT individuals can be performed with recommended modifications that can lead to favorable outcomes.
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Affiliation(s)
- Morteza Azadbakht
- Department of Surgery, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Saleh Azadbakht
- Department of Internal Medicine, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
| | - Samira Daniali
- Drug-store, Lorestan University of Medical Sciences, Khorramabad, Iran
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2
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Alfonso-Gamba MM, Barragán-Rativa DE. Apendicectomía en pacientes con situs inversus: serie de tres casos con manejo laparoscópico. REVISTA COLOMBIANA DE CIRUGÍA 2024. [DOI: 10.30944/20117582.2475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2025] Open
Abstract
Introducción. La transposición de los órganos debido al situs inversus (SI) es una rara afección que dificulta el diagnóstico de la apendicitis aguda. Esta condición hace que la sintomatología del paciente y los hallazgos al examen físico puedan ser atípicos, lo que demanda el uso de imágenes para la confirmación diagnóstica en la mayoría de los casos.
Métodos. Se describieron tres casos de apendicitis en pacientes con diagnóstico de situs inversus. Dos de ellos tenían el antecedente conocido, mientras el tercer caso fue diagnosticado de forma intraoperatoria.
Resultados. En dos pacientes se decidió llevar a cirugía vía laparoscópica sin imágenes diagnósticas adicionales. Los pacientes evolucionaron de manera satisfactoria.
Conclusión. Siempre se debe considerar la apendicitis dentro de los diagnósticos diferenciales en los pacientes con dolor en fosa ilíaca izquierda. Es fundamental diagnosticar y tratar la apendicitis de manera efectiva para minimizar las complicaciones asociadas. La importancia de la anamnesis y la sospecha clínica del examinador son vitales en estos casos, que se pueden confirmar con las imágenes diagnósticas. Pueden existir casos en donde la condición clínica del paciente no permita la realización de estudios diagnósticos por imágenes; esto apoya cada vez más el uso del abordaje laparoscópico. Se recomienda considerar el abordaje laparoscópico en primera instancia, ya que nos permite la confirmación diagnóstica de situs inversus totalis en caso de que el antecedente sea desconocido y facilita el manejo oportuno de la urgencia
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Abed H, Gogandi H, Almutawwif M, Aloufi A, Tashkandi M, Alqarni A, Aladwani F, Sadek HS. Dental management of Kartagener syndrome: A case report. SPECIAL CARE IN DENTISTRY 2024; 44:729-736. [PMID: 37612790 DOI: 10.1111/scd.12917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 08/07/2023] [Accepted: 08/12/2023] [Indexed: 08/25/2023]
Abstract
BACKGROUND Kartagener syndrome (KS) is recognized as an inherited, autosomal recessive disorder characterized by a combination of chronic sinusitis, bronchiectasis, and situs inversus. It affects one in 12,500-50,000 live births worldwide. AIM This paper aims to discuss the dental management of patients diagnosed with KS. CASE REPORT A 31-year-old male with KS manifests by impaired cilia motility which increases the risk of a frequent lung infection. The dental examination revealed that the patient required comprehensive oral hygiene care which included patient education and nonsurgical periodontal therapy under local anesthesia. CONCLUSIONS Dental care providers should ask affected patients with KS about their signs and symptoms of cardiac and pulmonary disease and seek consultation with their attending physician regarding these health concerns before the initiation of general anesthesia and perhaps conscious sedation administration. Patients with KS with emerging cardiac and/or respiratory impairment should be referred promptly for medical assessment.
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Affiliation(s)
- Hassan Abed
- Department of Basic and Clinical Oral Sciences, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
- Dental Unit, Division of Special Care Dentistry, My Clinic Polyclinic, Jeddah, Saudi Arabia
| | - Huda Gogandi
- Department of Basic and Clinical Oral Sciences, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Mustafa Almutawwif
- Department of Basic and Clinical Oral Sciences, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Abdullah Aloufi
- Special Care Dentistry Clinic, Tabuk Specialist Dental Centre, Tabuk, Saudi Arabia
| | - Mustafa Tashkandi
- Department of Basic and Clinical Oral Sciences, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Ali Alqarni
- Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, Faculty of Dentistry, Taif University, Taif, Saudi Arabia
| | - Fahad Aladwani
- Dental Unit, Division of Periodontics, My Clinic Polyclinic, Jeddah, Saudi Arabia
| | - Hisham S Sadek
- Department of Oral Medicine, Oral Diagnosis and Periodontology, Faculty of Dentistry, Cairo University, Cairo, Egypt
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Rigatou A, Christodoulou KC, Zlatidou X, Nikolakakis I. Dextrocardia With Situs Inversus in a COVID-19 Patient. Cureus 2024; 16:e52219. [PMID: 38347982 PMCID: PMC10861161 DOI: 10.7759/cureus.52219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/13/2024] [Indexed: 02/15/2024] Open
Abstract
With an estimated incidence of one in 10,000 to one in 50,000 patients, Situs inversus totalis (SIT) is a rare innate anomaly, portraying a mirror image of the normal anatomy, as the cardiac position and abdominal viscera are completely inverted. Despite the fact that physicians and researchers have been dealing with the SARS-CoV-2 pandemic for three years, there is a lack of published data examining the potential effects of anatomic variations on coronavirus disease 2019 (COVID-19) infection. This study aimed to contribute to this domain by presenting a rare case of a COVID-19 infection coexisting with SIT as one of the very few cases reporting the simultaneous presence of the two pathologies. We sought to present this case of COVID-19 in a quinquagenarian female, in whom SIT was an incidental radiological finding. The reversed anatomy did not seem to affect the clinical progression of the virus. However, due to the lack of scientific evidence, the potential long-term effects, if any, of COVID-19 on SIT cannot be predicted. The recognition of the mirror pattern will offer a personalized treatment plan, reducing the risk of severe complications and management mishaps.
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Affiliation(s)
- Anastasia Rigatou
- Computed Tomography and MRI Department, Sismanogleio General Hospital, Athens, GRC
| | | | - Xafnoula Zlatidou
- Computed Tomography and MRI Department, Sismanogleio General Hospital, Athens, GRC
| | - Ioannis Nikolakakis
- Emergency Medicine, Tzaneio Prefecture General Hospital of Piraeus, Athens, GRC
- History of Medicine and Medical Ethics Department, School of Medicine, National and Kapodistrian University of Athens, Athens, GRC
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Sous B, Raidah A, Syed F, Jaramillo N, Olafisoye T, Olsen D. Left-Sided Presentation of Acute Appendicitis in a Patient With Situs Inversus Totalis. Cureus 2023; 15:e40839. [PMID: 37492830 PMCID: PMC10363649 DOI: 10.7759/cureus.40839] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2023] [Accepted: 06/22/2023] [Indexed: 07/27/2023] Open
Abstract
Situs inversus totalis (SIT) is a rare condition characterized by mirror-image reversal of the thoracoabdominal organs. Although appendiceal pain is typically located in the right lower quadrant, in SIT, this can occur in the left lower quadrant. We present a case of a 40-year-old male with no medical history who complained of acute left lower quadrant pain, nausea, and vomiting with no other symptoms. A computed tomography scan revealed SIT and left-sided acute appendicitis (LSAA), which was managed surgically. This case highlights the importance of including appendicitis in the differential diagnosis for left lower quadrant pain.
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Affiliation(s)
- Bassem Sous
- Emergency Medicine, Nassau University Medical Center, East Meadow, USA
| | - Anisa Raidah
- Surgery, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, USA
| | - Faiz Syed
- Surgery, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, USA
| | - Nolberto Jaramillo
- Surgery, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, USA
| | | | - Dean Olsen
- Emergency Medicine, Nassau University Medical Center, East Meadow, USA
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Raghavan V, Moorthy PE, Srinivasan S. Salivary Gland Choristoma in External Auditory Canal: A Case Report. Fetal Pediatr Pathol 2023; 42:110-113. [PMID: 35380088 DOI: 10.1080/15513815.2022.2059603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
INTRODUCTION Salivary gland choristomas have been described in the middle ear but tend not to involve the external auditory canal. CASE PRESENTATION A 6-year-old boy with situs inversus totalis presented with congenital hearing loss in the left ear due to external auditory canal atresia. High resolution computed tomography of the temporal bone demonstrated a soft tissue obstruction of the external auditory canal with a normal middle ear. Histopathologically, this was a salivary gland choristoma. Post operatively the patient had a facial nerve palsy. CONCLUSION Salivary gland choristomas of middle ear have been reported, but have not been described with external auditory canal atresia and situs inversus totalis.
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Affiliation(s)
- Vijayashree Raghavan
- Department of Pathology, Chettinad Hospital and Research Institute, Chennai, Tamil Nadu, India
| | - Pooja E Moorthy
- Department of Pathology, Chettinad Hospital and Research Institute, Chennai, Tamil Nadu, India
| | - Sudha Srinivasan
- Department of Pathology, Chettinad Hospital and Research Institute, Chennai, Tamil Nadu, India
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Amirbeigi A, Abbaslou F, Elyasinia F. Laparoscopic sleeve gastrectomy in a patient with Situs Inversus Totalis: A case report and literature review. Ann Med Surg (Lond) 2022; 79:104101. [PMID: 35860141 PMCID: PMC9289484 DOI: 10.1016/j.amsu.2022.104101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 06/25/2022] [Accepted: 06/25/2022] [Indexed: 11/22/2022] Open
Abstract
Introduction & Importance: Laparoscopic sleeve gastrectomy (LSG) is a widely accepted and effective bariatric surgery for achieving weight loss in patients with extreme obesity. Performing this surgical procedure in patients with congenital anatomical changes including situs inversus (SI) is a challenge for the surgical team. In this condition, the orientation of intra-abdominal organs is the mirror image of those in normal populations. Case presentation Herein, we present a 29-year-old female with situs inversus totalis who successfully underwent an LSG surgery with proper weight loss post-operatively and no early and late complications. Clinical discussion By reviewing the literature for patients with SI undergoing the same procedure, all patients achieved significant weight loss. Three out of nineteen cases experienced complications which were controlled without significant morbidity or mortality. Conclusion: we concluded that LSG will be a safe and effective surgery for the treatment of extreme obesity in SI patients, if the condition is diagnosed preoperatively.
Performing laparoscopic sleeve gastrectomy (LSG) in patients with situs inversus (SI) is a challenge for the surgical team. SI should be diagnosed prior to surgery to avoid prolonged surgery and lack of expertise. LSG will be a safe and effective surgery for the treatment of extreme obesity in SI patients.
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Affiliation(s)
- Alireza Amirbeigi
- Department of General Surgery, School of Medicine, Kerman University of Medical, Iran
- Clinical Research Development Unit, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran
- Corresponding author. Shahid Bahonar Hospital, Department of General Surgery, School of Medicine, Kerman University of Medical Sciences, Qaraney St, Kerman, 7613747181, Iran.
| | - Fereshteh Abbaslou
- Department of Obstetrics and Gynecology, Mirza Kuchekkhan Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Fezzeh Elyasinia
- Department of General Surgery, Shariati Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
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Dastouri D, McSweeney W, Sivananthan S. OUP accepted manuscript. J Surg Case Rep 2022; 2022:rjac033. [PMID: 35198143 PMCID: PMC8858424 DOI: 10.1093/jscr/rjac033] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 01/15/2022] [Indexed: 11/26/2022] Open
Abstract
Situs inversus is described as exact mirroring of the normal anatomical arrangement of the major visceral organs. Polysplenia is a congenital anomaly associated with situs inversus and causes various splenic abnormalities. This case discusses a 62-year-old female who presented to the emergency department with hypotension and abdominal pain. Commuted tomography reveals situs inversus and a lobulated mass in the right upper quadrant consistent with a splenic rupture intraoperatively. This is the first reported case of a spontaneous splenic rupture in a patient with situs inversus. This case highlights the rarity of splenic injuries in situs inversus and the unique anatomical challenges that surgeons are faced with intraoperatively in a high-pressure environment.
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Affiliation(s)
- Darius Dastouri
- Department of General Surgery, Hervey Bay Hospital, Queensland Health, Hervey Bay, Queensland 4655, Australia
- Correspondence address. E-mail
| | - William McSweeney
- Department of General Surgery, Hervey Bay Hospital, Queensland Health, Hervey Bay, Queensland 4655, Australia
| | - Suntharalingam Sivananthan
- Department of General Surgery, Hervey Bay Hospital, Queensland Health, Hervey Bay, Queensland 4655, Australia
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9
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Almussallam B, Alqahtani SM, Abdo N, Maghraoui W, Fawaz M, Hachani A, Soliman SD, Elsayed M, Alsareii SA. Laparoscopic Sleeve Gastrectomy in a Patient With Situs Inversus Totalis and Kartagener Syndrome. Cureus 2021; 13:e17155. [PMID: 34532185 PMCID: PMC8435210 DOI: 10.7759/cureus.17155] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/13/2021] [Indexed: 01/07/2023] Open
Abstract
Laparoscopic sleeve gastrectomy (LSG) is a widely accepted and adopted procedure to achieves weight loss in morbid obesity. Situs inversus (SI) is when the body's visceral organs are not in the normal position with reversal of anatomical orientation. Patients with obesity and SI can be challenging to diagnose and manage. We present a case of a 23-year-old male who has SI totalis with Kartagener syndrome who underwent LSG to treat morbid obesity. Furthermore, we conducted a comprehensive review of the current medical literature. We conclude that LSG can be safely performed in SI. However, it is recommended to leave such cases to more experienced surgeons. In addition, it is advisable to consider few unconventional technical operative methods before surgery. Nevertheless, more data are needed to better study LSG in SI patients, which can be difficult given the rare nature of SI.
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Affiliation(s)
- Basem Almussallam
- Department of Surgery, McMaster University, Hamilton, CAN.,Department of Surgery, College of Medicine, Majmaah University, Majmaah, SAU
| | - Saad M Alqahtani
- Department of Surgery, College of Medicine, Majmaah University, Majmaah, SAU
| | - Nael Abdo
- Department of General and Bariatric Surgery, National Medical Complex (NMC) Najran Hospital, Najran, SAU
| | - Walid Maghraoui
- Department of Cardiology, National Medical Complex (NMC) Najran Hospital, Najran, SAU
| | - Mohammad Fawaz
- Department of General and Bariatric Surgery, National Medical Complex (NMC) Najran Hospital, Najran, SAU
| | - Asma Hachani
- Department of Internal Medicine/Critical Care, National Medical Complex (NMC) Najran Hospital, Najran, SAU
| | - Sally D Soliman
- Department of Internal Medicine and Pulmonology, Alexandria Police Hospital, Alexandria, EGY
| | - Mohamad Elsayed
- Department of Anaesthesia, National Medical Complex (NMC) Najran Hospital, Najran, SAU
| | - Saeed A Alsareii
- Department of Surgery, College of Medicine, Najran University, Najran, SAU
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10
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Chen W, Liang JL, Ye JW, Luo YX, Huang MJ. Laparoscopy-assisted resection of colorectal cancer with situs inversus totalis: A case report and literature review. World J Gastrointest Endosc 2020; 12:310-316. [PMID: 32994862 PMCID: PMC7503618 DOI: 10.4253/wjge.v12.i9.310] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 07/09/2020] [Accepted: 08/04/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Situs inversus totalis (SIT) is a rare anomaly in which structures are located opposite to their usual positions. It is not a premalignant condition and the association with colorectal cancer (CRC) is rare. We here report a patient with SIT who underwent laparoscopic radical resection of sigmoid colon cancer, and review the pertinent literature. CASE SUMMARY A 53-year-old woman presented with CRC and SIT and underwent a complete examination after admission. The patient then underwent laparoscopic radical resection of sigmoid colon cancer and hyperthermic intraperitoneal chemotherapy. The operation duration was 120 min, and no intraoperative complications occurred. The final pathological report showed stage T4aN0M0. Postoperative chemotherapy was administered and no evidence of recurrence was observed during 18 mo of follow-up. CONCLUSION Surgery in a patient with CRC and SIT can be safely performed on the basis of routine preoperative clinical examination.
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Affiliation(s)
- Wei Chen
- Department of Colorectal Surgery, The Six Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China
| | - Jing-Lin Liang
- Department of Colorectal Surgery, The Six Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China
| | - Jun-Wen Ye
- Department of Colorectal Surgery, The Six Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China
| | - Yan-Xin Luo
- Department of Colorectal Surgery, The Six Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China
| | - Mei-Jin Huang
- Department of Colorectal Surgery, The Six Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China
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11
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Burvill A, Blackham R, Hamdorf J. Laparoscopic sleeve gastrectomy in a patient with situs inversus totalis and Kartagener syndrome: an unusual surgical conundrum. BMJ Case Rep 2019; 12:e229550. [PMID: 31345831 PMCID: PMC6663256 DOI: 10.1136/bcr-2019-229550] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/07/2019] [Indexed: 01/07/2023] Open
Abstract
Kartagener syndrome is a rare autosomal recessive condition. Approximately 25% of those with situs inversus totalis suffer the syndrome. With the rising overall number and indications for bariatric surgery, this condition will be increasingly recognised. We present a case of a 25-year-old woman with SIT and Kartagener syndrome who underwent a laparoscopic sleeve gastrectomy. As with all bariatric surgery, a multidisciplinary team approach was important in managing such a case. There were considerable cognitive challenges for the surgical team both preoperatively and during the procedure. The patient tolerated the operation well and was discharged 2 days after the surgery. At 12-months follow-up, the patient had achieved 125% excess weight loss. This case illustrates that an experienced surgeon can safely perform a laparoscopic sleeve gastrectomy on a patient with situs inversus totalis.
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Affiliation(s)
- Angela Burvill
- Medical School, University of Western Australia, Crawley, Western Australia, Australia
| | - Ruth Blackham
- School of Surgery, University of Western Australia, Crawley, Western Australia, Australia
- Hollywood Private Hospital, Western Surgical Health, Nedlands, Western Australia, Australia
| | - Jeffrey Hamdorf
- School of Surgery, University of Western Australia, Crawley, Western Australia, Australia
- Hollywood Private Hospital, Western Surgical Health, Nedlands, Western Australia, Australia
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12
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Robot-assisted Toupet fundoplication and associated cholecystectomy in symptomatic giant hiatal hernia with situs viscerum inversus-A case report and literature review. Int J Surg Case Rep 2019; 60:371-375. [PMID: 31288202 PMCID: PMC6614786 DOI: 10.1016/j.ijscr.2019.06.038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Accepted: 06/19/2019] [Indexed: 12/30/2022] Open
Abstract
All symptomatic paraesophageal hiatal hernias should be repaired, particularly those with acute obstructive symptoms or which have undergone volvulus. Laparoscopic hiatal hernia repair is as effective as open transabdominal repair, with a reduced rate of perioperative morbidity and with shorter hospital stays. It is the preferred approach for the majority of hiatal hernias. Robotic Assisted Giant-Paraesophageal Hernia repair remain technically challenging predominantly in the dissecation of the hernia sac from the posterior mediastinum. The robotic platform have the same benefits of the laparoscopic approach in terms of complication rate, total surgical time, and hospital length of stay and in particular case is superior. Introduction Giant hiatus hernia is defined as migration of >30% of the stomach with or without other intra-abdominal organs into the chest. Situs Viscerum Inversus is a rare congenital condition in which the major visceral organs are reversed from their normal arrangement; they are translated (completely or partially) on the opposite side of the body. Diagnosis is often incidental. We report a Robot-assisted Toupet fundoplication for a giant hiatal hernia with gastro oesophageal reflux disease and cholelithiasis, in a 63-years-old woman with situs viscerum inversus. Presentation of case A 63-year-old woman with Situs Viscerum Inversus was diagnosed with giant sliding hiatus hernia. We performed a Robot-assisted procedure of reduction of hiatal hernia in abdomen and Toupet fundoplication with Bio A mesh placement and gastropexy procedure associated to cholecystectomy. The operation time was of 190 min. The patient was discharged on third postoperative day after X-ray check and he tolerated a solid food. Discussion Minimally invasive surgery represents, nowadays, the standard approach for hiatal hernia and cholelithiasis. Conclusion In challenging cases as the giant hernias ad rare anomaly as situs viscerum inversus, the surgical treatment can be facilitated by the use of robotic technology.
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13
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Chakravarthi S, Oishi H, Yatomi K, Teranishi K. Pipeline embolization device implantation in large carotid cavernous aneurysm associated with situs inversus totalis. Interv Neuroradiol 2019; 25:434-437. [PMID: 30895840 DOI: 10.1177/1591019919834628] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Situs anomalies are a heterogenous class of inborn visceral and vascular abnormalities with a broad range of radiographic characteristics. Situs inversus totalis is characterized by mirror image location of the heart and viscera relative to situs solitus (normal position). Few aberrations involving the neuraxis, and rarely intracranial aneurysms, have been reported in association with situs inversus totalis. We describe the radiological findings and endovascular management of one of the first of its kind: the association of bilateral carotid cavernous aneurysms (one large and the other small-sized) with situs inversus totalis.
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Affiliation(s)
| | - Hidenori Oishi
- 2 Department of Neuroendovasular Therapy, Juntendo University Faculty of Medicine, Tokyo, Japan.,3 Department of Neurosurgery, Juntendo University Faculty of Medicine, Tokyo, Japan
| | - Kenji Yatomi
- 3 Department of Neurosurgery, Juntendo University Faculty of Medicine, Tokyo, Japan
| | - Kohsuke Teranishi
- 3 Department of Neurosurgery, Juntendo University Faculty of Medicine, Tokyo, Japan
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14
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Amini M, Dehghani R, Zare A. Laparoscopic One-Anastomosis Gastric Bypass in a Patient with Morbid Obesity and Situs Inversus Totalis: a Case Report. Obes Surg 2018; 29:632-635. [PMID: 30515621 DOI: 10.1007/s11695-018-3619-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
BACKGROUND Laparoscopic one-anastomosis gastric bypass is a new bariatric surgery technique for weight loss in morbid obesity. This technique has come to be associated with suitable weight loss results, low technical complications, short surgery time, low cost, short post-operational period, and low chances of injury comparisons with other bariatric surgical approaches to weight loss in morbid obesity such as sleeve and Roux-en-Y gastric bypass. To the best of our knowledge, there has been no report of such surgery in the case of situs inversus totalis concurrent with morbid obesity. CASE PRESENTATION The patient was a 36-year-old male suffering from morbid obesity (BMI, 56.8) along with situs inversus totalis. In spite of operational complexities due to the reversed location of abdominal and thoracic organs, the operation was performed similarly to routine subjects considering the diverse site of organs. CONCLUSION Given the considerable superiorities of one anastomosis gastric bypass over other bariatric surgical techniques, particularly concerning the simpler procedure, low surgical complication and short surgery time, this approach may guarantee positive outcomes in subjects with concurrent situs inversus totalis and morbid obesity.
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Affiliation(s)
- Masood Amini
- Laparoscopy Research Center, Department of Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Reza Dehghani
- Department of Pharmacology, School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Afshin Zare
- Laparoscopy Research Center, Department of Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
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15
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Kim SS, Shin HC, Hwang JA, Jou SS, Lee WH, Choi SY, Park CH. Various congenital anomalies of the inferior vena cava: review of cross-sectional imaging findings and report of a new variant. Abdom Radiol (NY) 2018; 43:2130-2149. [PMID: 29264715 DOI: 10.1007/s00261-017-1430-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The inferior vena cava (IVC) is an important structure receiving a large amount of venous return and is associated with various congenital disorders. Advances in diagnostic imaging and its increasing accessibility have led to an increase in the incidental detection of IVC anomalies. Congenital anomalies of the IVC are not uncommon and are occasionally critical to treatment planning. However, they are frequently overlooked in abdominal imaging. The IVC is composed of four segments (intrahepatic, suprarenal, renal, and infrarenal), and each segment arises from different embryonic structures in a complex process. Anomalies of the IVC can be classified according to the involved segment. Familiarity with the variety of IVC anomalies seen on imaging is vital for correctly diagnosing and managing patients in daily practice.
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Affiliation(s)
- Seung Soo Kim
- Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital 31 Soonchunhyang6-gil, Dongnam-gu, Cheonan-si,, Chungcheongnam-do, 330-721, Republic of Korea
| | - Hyeong Cheol Shin
- Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital 31 Soonchunhyang6-gil, Dongnam-gu, Cheonan-si,, Chungcheongnam-do, 330-721, Republic of Korea.
| | - Jeong Ah Hwang
- Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital 31 Soonchunhyang6-gil, Dongnam-gu, Cheonan-si,, Chungcheongnam-do, 330-721, Republic of Korea
| | - Sung Shick Jou
- Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital 31 Soonchunhyang6-gil, Dongnam-gu, Cheonan-si,, Chungcheongnam-do, 330-721, Republic of Korea
| | - Woong Hee Lee
- Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital 31 Soonchunhyang6-gil, Dongnam-gu, Cheonan-si,, Chungcheongnam-do, 330-721, Republic of Korea
| | - Seo-Youn Choi
- Department of Radiology, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Republic of Korea
| | - Chan Ho Park
- Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital 31 Soonchunhyang6-gil, Dongnam-gu, Cheonan-si,, Chungcheongnam-do, 330-721, Republic of Korea
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Situs inversus totalis: revisión de tema con aproximación a la Genética y reporte de casos. REVISTA COLOMBIANA DE CARDIOLOGÍA 2017. [DOI: 10.1016/j.rccar.2016.06.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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17
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Turner EN, Fisher KL. Situs Inversus With Liver Metastases. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY 2016. [DOI: 10.1177/8756479316653957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Situs inversus totalis is a rare condition of the organs being transposed within the abdominal and chest cavities. The cause of situs inversus is unknown, but it is a recessive trait. Complete situs inversus may be associated with other malformations, such as levocardia, dextrocardia, and Kartagener syndrome; congenital heart disease may be present in some cases. The case presented describes a patient with situs inversus totalis with detection of liver metastases diagnosed by 2D sonography, computed tomography, and biopsy.
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18
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Affiliation(s)
- Kai-Lai Yang
- Department of Thoracic Surgery, Peking University First Hospital, Peking University, Beijing 100034, China
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Bharatam KK, Maran M, Siva Raja PK. Laparoscopic Nissen Rossetti fundoplication in situs inversus totalis-A blessing in disguise. Int J Surg Case Rep 2014; 5:1207-9. [PMID: 25437677 PMCID: PMC4275808 DOI: 10.1016/j.ijscr.2014.11.046] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2014] [Revised: 11/12/2014] [Accepted: 11/12/2014] [Indexed: 11/30/2022] Open
Abstract
Situs inversus totals with dextrocardia can have both splenic and respiratory (ciliary) anomalies. We have a case of hiatus hernia with situs inverses totalis. We chose the laparoscopic nissen - rossetti fundoplication for this condition to minimise blood loss and post-operative gas bloating. INTRODUCTION Laparoscopic Nissen fundoplication and Nissen Rossetti fundoplication represent two different surgical approaches for treating hiatus hernia. We report a Laparoscopic Nissen Rossetti fundoplication (LNRF) for gastro esophageal reflux disease (GERD) in a patient with situs inversus totalis (SIT). PRESENTATION OF CASE : A 38-year-old man with SIT was diagnosed with sliding hiatus hernia. We performed Laparoscopic Nissen Rossetti procedure for this patient. The patient was discharged on first postoperative day after he tolerated oral liquids. DISCUSSION SIT is a rare anomaly presenting in 1–2 per 10,000 individuals. As this rare anomaly (SIT) led preoperative anticipation of respiratory and blood loss complications the above procedure was chosen. Less operating time, less calculated blood loss and improvement of symptoms with no associated gas bloating syndrome was noted especially with SIT. CONCLUSION We recommend relook into the Laparoscopic Nissen Rossetti fundoplication as an effective procedure in GERD especially with rare anomalies like SIT.
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