South Clin Ist Euras. 2021; 32(2): 211-213 | DOI: 10.14744/scie.2020.71677

Situs Ýnversus Totalis ve Splenozisli Hastada Stend Yerleþtirme Tekniði ile ERCP

Rahmi Irmak
SBÜ Kartal Dr. Lütfi Kýrdar Eðitim ve Araþtýrma Hastanesi, Gastroenteroloji Bilim Dalý, Ýstanbul, Turkey

Situs inversus totalis, torasik ve abdominal organlarýn ayna hayali þeklinde yer deðitirmesi ile karakterize nadir doðumsal bir anomalidir. Situs inversus totalisli hastalarda safra kanalý ekseninin deðiþimi nedeniyle endoskopik retrograd kolanjiyopankreatografi yapmak normal olguya göre çok daha zor olmaktadýr. Bu yazýda, situs inversus totalisli bir hastada endoskopik retrogradkolanjiyopankreatografi iþlemi ile olaðan poziyonunda baþarýlý endoskopik retrogradkolanjiyopankreatografi yapýlacaðý ve maling darlýklý hastanýn koledoðuna stent yerleþtirilen olgumuzun nadir olmasý nedeniyle sunuyoruz.

Anahtar Kelimeler: Endoskopik retrograd kolanjiyopankreatikografi, ERCP; koledok stendi; koledok stenozu; safra kanalý tümörü; situs inversus totalis.

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Technique for ERCP and Stent Placement in a Patient with Situs Inversus Totalis and Splenosis

Rahmi Irmak
Department of Gastroenterology, University of Health Sciences, Kartal Dr. Lütfi Kýrdar Training and Research Hospital, Ýstanbul, Turkey

Situs inversus totalis (SIT) is a rare congenital anomaly characterized by the transposition of thoracic and abdominal organs in a mirror image. Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with SIT is much more difficult than in patients with normal anatomy due to the different orientation of the bile duct axis. This article describes the first known description of successful ERCP and the placement of a choledocal stent in a patient with SIT and malignant choledocal stenosis using an adjusted technique to accommodate the circumstances.

Keywords: Bile duct tumor, choledocal stenosis; choledocal stent; endoscopic retrograde cholangiopancreatography; situs inversus totalis.

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