Gong KR, Zheng ZL, Li GF, Chen JM. Endoscopic retrograde cholangiopancreatography treatment of cholangitis stone in a patient with total situs inversus: A case report. World J Gastrointest Endosc 2025; 17(6): 106347 [DOI: 10.4253/wjge.v17.i6.106347]
Corresponding Author of This Article
Jun-Mao Chen, Associate Professor, Chief Physician, Department of Minimally Invasive Interventional, North China University of Science and Technology Affiliated Hospital, No. 73 South Jianshe Road, Lubei District, Tangshan 063000, Hebei Province, China. 1276433557@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Ke-Rui Gong, Zhuo-Lin Zheng, Guo-Fu Li, Jun-Mao Chen, Department of Minimally Invasive Interventional, North China University of Science and Technology Affiliated Hospital, Tangshan 063000, Hebei Province, China
Co-first authors: Ke-Rui Gong and Guo-Fu Li.
Co-corresponding authors: Zhuo-Lin Zheng and Jun-Mao Chen.
Author contributions: Gong KR, Zheng ZL, Li GF, and Chen JM were responsible for clinical observation and data collection; Gong KR and Li GF wrote and revised the manuscript, they contributed equally to this article, they are the co-first authors of this manuscript; Chen JM and Zheng ZL conducted case analysis and discussion, they contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors have read and approved the final manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun-Mao Chen, Associate Professor, Chief Physician, Department of Minimally Invasive Interventional, North China University of Science and Technology Affiliated Hospital, No. 73 South Jianshe Road, Lubei District, Tangshan 063000, Hebei Province, China. 1276433557@qq.com
Received: February 24, 2025 Revised: April 9, 2025 Accepted: May 8, 2025 Published online: June 16, 2025 Processing time: 108 Days and 1.5 Hours
Core Tip
Core Tip: We describe a rare cholangitis case in a patient with complete visceral inversion treated with endoscopic retrograde cholangiopancreatography. Splanchnic inversion (SIV) is a rare congenital disorder characterized by mirror-image inversion of thoracic and abdominal organs, usually with minimal clinical impact. Although a direct link between SIV and specific organ abnormalities has not yet been established, SIV complicates diagnosis and treatment due to changes in its anatomy. Herein, therapeutic endoscopic retrograde cholangiopancreatography was a safe and effective approach in the patient with SIV. Positioning adjustments and specialized techniques, such as the dual-guidewire approach to biliary cannulation, could improve the procedure success rate.
