A case of hepatectomy for total situs inversus with Kartagener syndrome

Hiroyoshi Matsukawa, Takahito Yagi, Hiroshi Sadamori, Hiroaki Matsuda, Susumu Shinoura, Yuzo Umeda, Michiki Narushima, Takayuki Iwamoto, Daisuke Sato, Noriaki Tanaka

Research output: Contribution to journalArticle

Abstract

The clinical treatment of situs inversus is difficult due to the inverted mirror-imaged anatomy and accompanying anomalies. A 55-year-old woman with total situs inversus and Kartagener's syndrome (bronchoectasia, chronic sinusitis and dextrocardia) was found to have a large-sized hepatic angiogenic tumor in the posterior sector and underwent successful hepatectomy. Concomitant anomalous anatomy included interruption of the inferior vena cava at the liver and azygous continuation, hepatic veins flowing into the right atrium, polysplenia, agenesis of the dorsal pancreas, and malrotation of the intestine. In hepatic resection for situs in-versus, it is thus important to be aware of this inverted mirror imaging and to confirm organic and vascular anatomical anomalies.

Original languageEnglish
Pages (from-to)1915-1920
Number of pages6
JournalJapanese Journal of Gastroenterological Surgery
Volume40
Issue number12
DOIs
Publication statusPublished - Dec 2007

Keywords

  • Hepatectomy
  • Kartagener syndrome
  • Total situs inversus

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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