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KMID : 0359020090380020098
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Korean Journal of Gastrointestinal Endoscopy
2009 Volume.38 No. 2 p.98 ~ p.102
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Endoscopy and Colonoscopy in a Situs Inversus Totalis Patient: A Case Report
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Cho Seung-Hyun
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Abstract
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Situs inversus totalis (SIT) is a very rare autosomal recessive condition that occurs in 1 out of 8,000~20,000 people. Many endoscopic and colonoscopic procedures are performed in SIT patients, and they are difficult due to a complete left-right reversal of the internal organs. However, a throughout review of the endoscopic and colonoscopic procedures in such patients has never been conducted. A previous appendectomy and a large uterine myoma may make a colonoscopic
procedure more difficult due to the adhesion and external compression. We performed endoscopy and colonoscopy without pain or complication in a SIT patient who had undergone appendectomy and had a large uterine myoma. We attribute this good result to careful preparation and sticking to the general principles of colonoscopic procedures.
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KEYWORD
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Situs inversus totalis, Endoscopy, Colonoscopy, Appendectomy
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