Korean J Gastroenterol.  2015 Dec;66(6):354-358. 10.4166/kjg.2015.66.6.354.

Removal of Choledocholith by Endoscopic Retrograde Cholangiopancreatography in a Situs Invsersus Patient

• Yeo SJ
• Heo J
• Cho CM
• Jung MK
• Park SY
• Kim MH
• Lee S
• Yu N

• KMID: 2373370
• DOI: http://doi.org/10.4166/kjg.2015.66.6.354

Abstract

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.

Keyword

Situs inversus; Endoscopic retrograde cholangiopancreatography; Choledocholithiasis

MeSH Terms

Aged
Balloon Occlusion
Cholangiopancreatography, Endoscopic Retrograde
Gallstones/complications/*diagnosis/therapy
Humans
Male
Situs Inversus/complications/*diagnosis
Stents
Tomography, X-Ray Computed