Year 2022 / Volume 114 / Number 3
Letter
ERCP and situs inversus

176-177

DOI: 10.17235/reed.2021.8374/2021

Eduardo Valdivielso Cortázar, Óscar Porto Fuentes, Lidia González Peñas, Ignacio Couto Wörner, José Souto Ruzo, Benito González Conde, Emilio Estévez Prieto, Pedro Alonso Aguirre,

Abstract
An 85-year-old female with situs inversus totalis was admitted due to obstructive jaundice, secondary to multiple choledocholithiasis and distal biliary stenosis due to adenocarcinoma of the head of the pancreas, with duodenal infiltration and metastatic liver disease. An endoscopic retrograde cholangiopancreatography (ERCP) was attempted in the supine position but bile duct cannulation was not possible due to duodenal infiltration. Finally, a palliative biliary stent was placed percutaneously, with resolution of the jaundice.
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References
1) Varano NR, Merklin RJ. Situs inversus: review of the literature, report of four cases and analysis of the clinical implications. J Int Coll Surg 1960;33:131-48
2) Fiocca F, Donatelli G, Ceci V et al. ERCP in Total Situs Viscerum Inversus. Case Rep Gastroenterol 2008; 2: 116-20
3) Rocha M, Mateus-Dias A, Coimbra J. A challenging abdominal pain. Gastroenterology 2020; 158: e11-13
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Citation tools
Valdivielso Cortázar E, Porto Fuentes Ó, González Peñas L, Couto Wörner I, Souto Ruzo J, González Conde B, et all. ERCP and situs inversus. 8374/2021


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Publication history

Received: 07/10/2021

Accepted: 15/10/2021

Online First: 26/10/2021

Published: 07/03/2022

Article revision time: 3 days

Article Online First time: 19 days

Article editing time: 151 days


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