KMID : 1143920230270030322
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Annals of Hepato-Biliary-Pancreatic Surgery 2023 Volume.27 No. 3 p.322 ~ p.327
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A rare case report of Mirizzi syndrome type III treatment algorithm in situs inversus totalis, large ventricular septal defect and transposition of great arteries in a young diabetic patient
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Raju Badipati
Samali Maity Muralidharsai Maddasan Syed Mazhar Galib Ali Farha Naaz Khatoon Kim Seon-Wook Kushal Gunturu Gopu Prameela
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Abstract
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Situs inversus totalis (SIT) is a rare condition in which cardiac and abdominal organs are inverted from their normal left-sided orientation. Mirizzi syndrome, characterized by the obstruction of the common hepatic duct or the common bile duct by gallstone, is a rare condition. Mirizzi syndrome co-occurrence in SIT patients is rare. Gallbladder in sinistroposition is extremely uncommon in SIT patients. We report a known case of diabetes, ventricular septal defect with transposition of the great arteries in a 32-year-old female who presented with jaundice, cholangitis, chills, and fever that had lasted for 10 days. She was confirmed to have SIT with type III Mirizzi syndrome following a series of diagnostic procedures. Primarily, endoscopic retrograde cholangiopancreatography along with common bile duct stenting was performed to initially reduce cholangitis. After an eight-week follow-up after the reduction of cholangitis, surgery was conducted. Mirror-imaged ports were used for the laparoscopic procedure, and the surgeon was on the patient¡¯s right side rather than the usual left side. The patient was discharged from the hospital following two days of uneventful healing.
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KEYWORD
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Situs inversus totalis, Mirizzi syndrome, Transposition of great arteries, Ventricular septal defect, Laparoscopic cholecystectomy
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