Open AccessRemoval of Choledocholith by Endoscopic Retrograde Cholangiopancreatography in a Situs Invsersus Patient
Author(s) -
Seong Jae Yeo,
Jun Heo,
Chang Min Cho,
Min Kyu Jung,
Soo Young Park,
Myung Hi Kim,
SangWon Lee,
Nari Yu
Publication year - 2015
Publication title -
the korean journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.203
H-Index - 25
eISSN - 2233-6869
pISSN - 1598-9992
DOI - 10.4166/kjg.2015.66.6.354
Subject(s) - situs inversus , medicine , endoscopic retrograde cholangiopancreatography , radiology , dextrocardia , surgery , pancreatitis
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.