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首页> 外文期刊>Diagnostic and therapeutic endoscopy >Laparoscopic Cholecystectomy for Severe Acute Cholecystitis in a Patient with Situs Inversus Totalis and Posterior Cystic Artery
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Laparoscopic Cholecystectomy for Severe Acute Cholecystitis in a Patient with Situs Inversus Totalis and Posterior Cystic Artery

机译：腹腔镜胆囊切除术治疗严重急性胆囊炎合并直肌内翻及后囊性动脉病变的患者

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摘要

Situs inversus totalisis an inherited condition characterized by a mirror-image transposition of thoracic and abdominal organs. It often coexists with other anatomical variations. Transposition of the organs imposes special demands on the diagnostic and surgical skills of the surgeon. We report a case of a 34-year-old female patient presented with left upper quadrant pain, signs of acute abdomen, and unknownsitus inversus totalis. Severe acute cholecystitis was diagnosed, and an uneventful laparoscopic cholecystectomy was performed. A posterior cystic artery was identified and ligated. Laparoscopic cholecystectomy is feasible in patients with severe acute calculus cholecystitis andsitus inversus totalis; however, the surgeon should be alert of possible anatomic variations.
机译：逆蚕总有一种遗传性疾病，其特征是胸腔和腹部器官的镜像移位。它通常与其他解剖变异并存。器官的移位对外科医生的诊断和手术技能提出了特殊要求。我们报告了一名34岁女性患者的病例，该患者出现左上腹疼痛，急性腹部体征和全位反位。诊断为严重的急性胆囊炎，并进行了平整的腹腔镜胆囊切除术。鉴定并结扎了一条胆囊后动脉。腹腔镜胆囊切除术适用于重症急性结石性胆囊炎及全位反转的患者;但是，外科医生应警惕可能出现的解剖学变化。

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