全内脏反位胆总管结石行经内镜逆行胰胆管造影取石治疗1例报告并文献复习

史伟; 孙仁虎; 韩树堂; 吴大鹏

doi:10.3969/j.issn.1001-5256.2018.02.038

全内脏反位胆总管结石行经内镜逆行胰胆管造影取石治疗1例报告并文献复习

DOI: 10.3969/j.issn.1001-5256.2018.02.038

江苏省中医院消化内镜中心

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中图分类号: R657.42
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出版历程
- 出版日期: 2018-02-20

Endoscopic retrograde cholangiopancreatography for treating common bile duct stones in patients with situs inversus totalis: a case report and literature review

Center of Digestive Endoscopy, Jiangsu Provincial Hospital of Traditional Chinese Medicine

摘要

摘要:
<正>1病例资料患者男性,35岁,因"左上腹部持续性疼痛2 d"于2012年9月19日入本院。疼痛开始为阵发性绞痛,入院前1天成持续性疼痛,伴有恶心、呕吐。查体:巩膜黄染,左上腹部压痛（++）,反跳痛（+）,墨菲征（-）,血清脂肪酶907 U/L。入院前上腹部CT示:急性胰腺炎,右位心,内脏反位。入院后MR示:内脏反位,胰腺改变（符合急性胰腺炎表现）,胆总管下端结石,胆囊结石（图1）;肝功能检查示:TBil 47.2μmol/L,
- 胆总管结石 /
- 胰胆管造影术,内窥镜逆行 /
- 病例报告
- choledocholithiasis /
- cholangiopancreatography, endoscopic retrograde /
- case reports

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参考文献(5)

[1]ZHENG CB, JIANG YY, WU SJ.Laparoscopic cholecystectomy and common bile duct exploration in patients with situs inversus totalis:a case report[J].J Laparo Surg, 2011, 16 (7) :532. (in Chinese) 郑朝彬, 姜奕扬, 吴士军.全内脏反位腹腔镜胆囊切除胆总管取石1例报告[J].腹腔镜外科杂志, 2011, 16 (7) :532.

[2]FIOCCA F, DONATELLI G, CECI V, et al.ERCP in total situs viscerum inversus[J].Case Rep Gastroenterol, 2008, 2 (1) :116-120.

[3]YEO SJ, HEO J, CHO CM, et al.Removal of choledocholith by endoscopic retrograde cholangiopancreatography in a situs invsersus patient[J].Korean J Gastroenterol, 2015, 66 (6) :354-358.

[4]KAMANI L, KUMAR R, MAHMOOD S, et al.Therapeutic ERCP in patient with situs inversus totalis and ampullary diverticulum[J].J Coll Physicians Surg Pak, 2014, 24 (5) :365-366.

[5]HU Y, ZENG H, PAN XL, et al.Therapeutic endoscopic retrograde cholangiopancreatography in a patient with situs inversus viscerum[J].World J Gastroenterol, 2015, 21 (18) :5744-5748.

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