Avtor/Urednik     Černi, Igor; Fludernik, Bogdan
Naslov     Laparoskopska holecistektomija zaradi akutnega vnetja žolčnika s kamni pri bolnici z medsebojno obrnjenim položajem notranjih organov - prikaz primera
Prevedeni naslov     Laparoscopic cholecystectomy a patient with acute calculose cholecystitis and reciprocally transposed internal organs - case presentation
Tip     članek
Vir     Zdrav Vestn
Vol. in št.     Letnik 72, št. 7-8
Leto izdaje     2003
Obseg     str. 439-42
Jezik     slo
Abstrakt     Background. Situs inversus viscerum totalis (reciprocally reversed position of internal organs) is a rare case with genetic predisposition, inherited autosomnously recessive. The presented case involves an older patient with complete transposition of internal organs having acute calculous cholecystitis, which was successfully performed the laparoscopic cholecystectomy. Whilst the production of biliary stones in a case of transposed internal organs is very rare, it may well represent a diagnostic problem. It is not, however, the contraindication for laparoscopic surgery. Patients and methods. The casepresents a 64-year-old patient, whose persistent biliary colic trouble eventually resulted in acute cholecystitis. Following routine diagnostics, a laparoscopic cholecystectomy was performed and the patient was released in domestic care after three day hospitalization. Conclusions. The laparoscopic cholecystectomy may also be safely performed in a patient with reciprocal transposition of all internal organs, but it is imperative to consider the fact that the extra-hepatic anatomy ofgall bladder and vascular system is the mirror image of normal, right-hand positioned liver.
Izvleček     Izhodišča. Situs inversus viscerum totalis (medsebojno obrnjen položaj vseh notranjih organov) je redek primer z genetsko predispozicijo, deduje se avtosomno recesivno. Predstavljamo primer starejše bolnice s popolno transpozicijo notranjih organov in akutnim kalkuloznim vnetjem žolčnika, pri kateri je bila uspešno opravljena laparoskopska holecistektorrcija. Nastanek žolčnih kamnov je pri obrnjenem medsebojnem položaju notranjih organov redek, lahko predstavlja diagnostični problem, ni pa kontraindikacija za laparoskopsko operacijo žolčnih kamnov. Bolniki in metode. Predstavljena je 64-letna bolnica, pri kateri je dalj časa trajajoča žolčna kolika povzročila akutno vnetje žolčnika. Po predhodni diagnostiki smo opravili laparoskopsko holecistektomijo in bolnica je bila po tridnevni hospitalizaciji odpuščena v domačo nego. Zaključki. Laparoskopsko holecistektomijo lahko varno izvedemo tudi pri bolniku z medsebojno obrnjenim položajem vseh notranjih organov, nujno pa je potrebno upoštevati dejstvo, da je ekstrahepatična anatomija žolčnega in žilnega sistema zrcalna slika desno ležečih jeter
Deskriptorji     CHOLECYSTECTOMY, LAPAROSCOPIC
CHOLECYSTITIS
CHOLELITHIASIS
MIDDLE AGE
SITUS INVERSUS
ABDOMEN