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网站逆向总体:在内镜逆行胆血管细胞造影术中的挑战和解剖学考虑

Usman I Aujla¹, Ahmad Karim Malik¹, Abdullah Saeed²

¹Gastroenterology and Hepatology, Pakistan Kidney and Liver Institute and Research Center, Lahore, PAK.

|August 7, 2025

概括

网站逆向总体 (SIT) 对内镜逆向胆血管细胞造影 (ERCP) 提出了独特的挑战. 这个案例证明了在SIT患者中使用位置调整和范围操纵的成功胆管减压.

科学领域:

胃肠病学和肝病学
手术解剖学手术解剖学
医疗成像医学成像

背景情况:

网站逆向总体 (SIT) 是一种罕见的先天性疾病,内脏器官的完全镜像转移.
这种解剖学变异显著复杂化了标准的内镜手术,特别是ERCP.
在SIT患者中阻塞性黄需要专门的诊断和治疗方法.

研究的目的:

描述一个成功的ERCP在一个患有网站逆向总体和阻塞性黄的病人.
要突出ERCP在SIT中所需的技术修改.
强调解剖学理解和操作员技能在管理SIT患者中的重要性.

主要方法:

一个51岁的男性患有SIT和引起阻塞性黄的周周脉质的病例报告.
术前ERCP在患者躺卧状态下进行,并进行专门的视野操纵 (360度反时钟方向旋转).
胆道系统的成功管和放置一个塑料支架用于胆道减压.

主要成果:

在SIT患者中,通过ERCP成功实现了胆管减压.
患者在手术后经历了临床改善.
修改后的ERCP技术促进了阻塞性黄的有效管理.

结论:

在 situs inversus totalis 患有阻塞性黄的患者中,ERCP 是可行的.
位置调整和先进的范围操纵对于导航逆向解剖学至关重要.
在管理复杂的解剖变异方面的专业知识对于成功的内镜干预至关重要.

关键词:

胆瘤是一种胆瘤.常见的胆道通道胆道通道内镜逆行性胆血管造机图 (cholangiopancreatography) 是一种内镜逆行式胆血管造机图.逆向解剖学的一个例子.网站反向总体的总体.

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