Ercp Maneuvers for Situs Inversus Totalis

Abstract

Situs inversus totalis is a rare autosomal recessive congenital anomaly, with an estimated incidence of 1 case per 10,000 births (1,2) . Endoscopic retrograde cholangiopancreatography (ERCP) is a challenging procedure in this condition (3)(4)(5)(6) .We present the case of a 55-year-old woman with a previous diagnosis of situs inversus totalis (FIGURE 1) and history of intraductal papillary mucinous neoplasm (IPMN) in the head of the pancreas who progressed to malignant degeneration and obstructive jaundice in July 2019. She was submitted to ERCP in an external service when the diagnosis was made and biliary drainage was performed for later palliative chemotherapy. In July 2020, the patient presented clinical worsening and jaundice (total bilirubin =20mg/dL, predominantly direct hyperbilirubinemia), being referred for another ERCP.

Right-sided scrotal varicocele in a patient with <I>situs inversus totalis</I>: case report

“…Situs inversus totalis (SIT) -редкая аутосомно-рецессивная врожденная аномалия с частотой выявляемости 1 случай на 10 тыс. новорожденных [4]. Значительная часть детей с SIT имеют сопутствующие заболевания, затрагивающие несколько систем, особенно сердечно-сосудистую и респираторную [5].…”