PDF(Pubmed)
Abstract：
Situs inversus totalis (SIT), affecting 1 in 6,000 to 10,000 individuals, involves a complete reversal of chest and abdominal organs. About one-third of SIT cases coincide with primary ciliary dyskinesia, leading to diverse symptoms. Surgical challenges arise in procedures like liver transplantation and biliary interventions due to organ abnormalities. This case study explores cholecystitis in a patient with SIT, offering insights crucial for navigating complexities in treating this congenital anomaly. A 34-year-old Arab female, who was a known SIT case, came to the hospital complaining of abdominal pain in the left upper quadrant. After conducting a chest X-ray and an abdominal ultrasound, the patient was diagnosed with cholecystitis. She then underwent a planned cholecystectomy to remove her gallbladder. SIT presents challenges when it comes to procedures such as laparoscopic cholecystectomy (LC). Nevertheless, the proficiency of skilled surgeons, meticulous preoperative planning, and strict adherence to surgical principles render the execution of LC on patients with SIT both achievable and secure. The successful completion of over 120 cases serves as evidence of the adaptability and precision that can be achieved through surgery for individuals with SIT.
摘要：
完全坐位倒位（SIT），影响到6000至10000人中的1人，涉及胸部和腹部器官的完全逆转。大约三分之一的SIT病例与原发性纤毛运动障碍同时发生，导致不同的症状。由于器官异常，在肝移植和胆道介入等手术中出现了手术挑战。本案例研究探讨了SIT患者的胆囊炎，提供对治疗这种先天性异常的复杂性至关重要的见解。一名34岁的阿拉伯女性,他是一个已知的SIT案件，来医院抱怨左上腹疼痛。在进行胸部X光和腹部超声检查后，患者被诊断为胆囊炎。然后，她接受了计划中的胆囊切除术以切除胆囊。当涉及到诸如腹腔镜胆囊切除术(LC)的程序时,SIT提出了挑战。然而，熟练的外科医生的熟练程度，细致的术前计划,严格遵守手术原则使得对SIT患者进行LC既可实现又安全。成功完成了120多个病例，这证明了通过SIT患者的手术可以实现的适应性和精确性。
