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KMID : 0371319960510030448
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Journal of the Korean Surgical Society
1996 Volume.51 No. 3 p.448 ~ p.452
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Pancreaticoduodenectomy in a Patient with Situs Inversus Totalis
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Abstract
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Situs inversus totalis is a rare congenital anomaly occurring once in every 10,000 to 50,000 people. Its etiology is obscure but apparently does not influence normal health of life expectancy. We present a case of pseudocyst of pancreatic head in
a
27-year-old woman whose chief complaint was painless palpable mass on the left upper quadrant of the abdomen.
Chest and abdominal roentgenogram showed situs inversus totalis. Endoscopic retrograde cholangiopancreatography before surgery demonstrated cystic mass of pancreas which had communication with main pancreatic duct. Pancreaticoduodenectomy was
performed
and the mass was confirmed to pancreatic pseudocyst by pathological study. The structural variation of situs inversus totalis did not cause any significant technical problems during operative proceudre.
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