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KMID : 0614620150660060354
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Korean Journal of Gastroenterology
2015 Volume.66 No. 6 p.354 ~ p.358
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Removal of Choledocholith by Endoscopic Retrograde Cholangiopancreatography in a Situs Inversus Patient
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여승재:Yeo Seong-Jae
허준:Heo Jun/조창민:Cho Chang-Min/정민규:Jung Min-Kyu/박수영:Park Soo-Young/김명희:Kim Myung-Hi/이상원:Lee Sang-Won/유나리:Yu Na-Ri
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Abstract
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Situs inversus is an extremely rare autosomal recessive disease with left-right inversion of internal organs. It carries technical difficulties in diagnostic or therapeutic procedures. There have been a few case reports on stone extraction by ERCP in situs inversus patients. ERCP techniques in situs inversus can be classified into conventional method and mirror image method. In mirror image method, the procedure is performed with the patient in the right lateral decubitus position and the endoscopist on the patient’s left side. Until now, there is no consensus about which method is better. Herein, we report an unusual case of choledocholithiasis in a patient with situs inversus who underwent ERCP for stone extraction by both conventional method and mirror image method.
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KEYWORD
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Situs inversus, Endoscopic retrograde cholangiopancreatography, Choledocholithiasis
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