Intraductal Papillary Mucinous Neoplasm (IPMN) of the Pancreas with Situs Inversus Totalis—Case Report with Review of Literature

Mohandas, Shailesh; Dickson-Lowe, Richard; Karanjia, N D

doi:10.1007/s12029-011-9352-3

Cited by 5 publications

(5 citation statements)

References 9 publications

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“…Нами проведен поиск литературы в сети MEDLINE, поисковый запрос -«рancreas» or «pancreaticoduodenectomy» or «pancreatectomy» or «pancreatic neoplasms» or «common bile duct neoplasms» and «situs inversus». Найдено описание всего 14 наблюдений выполнения панкреатодуоденальной резекции при обратном расположении органов, и лишь в одном из них были сопутствующие проявления синдрома гетеротаксии, при этом агенезии дорсального зачатка поджелудочной железы не отмечалось [3][4][5][6][7][8][9][10][11][12][13][14][15]. Представленное нами клиническое Рос журн гастроэнтерол гепатол колопроктол 2023; 33(3) / Rus J Gastroenterol Hepatol Coloproctol 2023; 33 (3) Клинические наблюдения/Clinical cases наблюдение № 1 является третьим по счету случаем выполнения ГПДР при аденокарциноме БДС у больного с полной транспозицией внутренних органов [5,15].…”

Section: Discussionunclassified

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Surgical Strategy in Patients with Complete Transposition of Internal Organs in Cancer of the Biliopancreatoduodenal Zone

Ischenko,

Ivanov,

Smirnov

et al. 2023

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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Аim: to present two clinical cases of successful surgical treatment of patients with a combination of complete transposition of internal organs and cancer of the biliopancreatoduodenal zone.Key points. A 65-year-old man underwent gastropancreatoduodenal resection for cancer of the large duodenal papilla. In addition to the situs vicserum inversus, this patient revealed a special variant of vascular anatomy, namely: separate separation of the left and right hepatic arteries from the ventral trunk. A 70-year-old man, in addition to complete transposition of internal organs, had a combination of cancer of the terminal part of the common bile duct and heterotaxy syndrome in the form of polysplenia, aplasia of the hepatic segment of the inferior vena cava, agenesis of the dorsal pancreatic rudiment (“short” pancreas), intrapancreatic course of the right hepatic artery extending from the superior mesenteric arteries, rotational abnormalities of intestinal development. This patient underwent a total pancreatectomy. In both cases, the main difficulties in mobilizing the pancreatoduodenal complex arose due to anatomical disorientation and the absence of standard (familiar) topographic and anatomical landmarks for the surgeon.Conclusion. In all patients with tumors of the biliopancreatoduodenal zone, a detailed assessment of the vascular anatomy of this area is required before surgery, with the study of the course of the main visceral vessels and their large branches using multispiral computed tomography in vascular mode. If heterotaxy syndrome is suspected, additional examination is necessary to identify hidden developmental anomalies, which allows surgeons to be prepared for an unusual situation. Gastropancreatoduodenal resection or total pancreatectomy in situs viscerum inversus is a technically complex intervention and should be performed in large multidisciplinary medical institutions, and the operating team should have extensive experience in operations on the organs of the biliopancreatoduodenal zone.

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Section: Discussionunclassified

“…В опубликованных наблюдениях других авторов [3][4][5][6][7][8][9][10][11][12][13][14][15] Каких-либо особенностей в проведении обезболивания, течения послеоперационного периода не отмечено.…”

Section: Discussionunclassified

Surgical Strategy in Patients with Complete Transposition of Internal Organs in Cancer of the Biliopancreatoduodenal Zone

Ischenko,

Ivanov,

Smirnov

et al. 2023

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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“…

Situs inversus totalis is a rare autosomal recessive congenital anomaly, with an estimated incidence of 1 case per 10,000 births (1,2) . Endoscopic retrograde cholangiopancreatography (ERCP) is a challenging procedure in this condition (3)(4)(5)(6) .We present the case of a 55-year-old woman with a previous diagnosis of situs inversus totalis (FIGURE 1) and history of intraductal papillary mucinous neoplasm (IPMN) in the head of the pancreas who progressed to malignant degeneration and obstructive jaundice in July 2019. She was submitted to ERCP in an external service when the diagnosis was made and biliary drainage was performed for later palliative chemotherapy.

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confidence: 99%

“…Situs inversus totalis is a rare autosomal recessive congenital anomaly, with an estimated incidence of 1 case per 10,000 births (1,2) . Endoscopic retrograde cholangiopancreatography (ERCP) is a challenging procedure in this condition (3)(4)(5)(6) .…”

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Ercp Maneuvers for Situs Inversus Totalis

Funari

Ribeiro

Hirsch

et al. 2021

Arq. Gastroenterol.

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“…[1,2]. Этот анатомический вариант развития выявляют в 1 наблюдении на 25 000 населения [3,4], и в ряде наблюдений он ассоциируется с различными сердечно-сосудистыми и гепатобилиарными пороками развития. Любое оперативное вмешательство у пациентов с SIT крайне сложно ввиду отсутствия стандартных топографо-анатомических ориентиров и опыта подобных операций [5,6].…”

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Whipple procedure for ampulla of Vater cancer in a patient with situs inversus (clinical case)

Ищенко

Седаков²,

Антипов³

et al. 2021

Ann. hir. gepatol.

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A clinical case of a rare combination of complete transposition of internal organs (situs inversus totalis) with adenocarcinoma of the major duodenal papilla is presented. In addition to situs vicserum inversus, the patient has a special variant of vascular anatomy that is not included in the generally accepted classification of variants of arterial liver anatomy according to Michaels N.A. (1955), namely: separate separation of the left and right hepatic arteries from the ventral trunk. After individual preoperative planning, a patient with a complete reverse position of the abdominal organs and non-standard vascular anatomy was performed Whipple procedure. Non-invasive CT angiography is important in a complex preoperative examination, which allows timely identification and clarification of frequently occurring features of blood supply to the hepatopancreatoduodenal zone in patients with situs inversus totalis. Such surgical interventions should be performed in large multi-specialty medical centers that have extensive experience in performing pancreatoduodenal resections.

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Intraductal Papillary Mucinous Neoplasm (IPMN) of the Pancreas with Situs Inversus Totalis—Case Report with Review of Literature

Cited by 5 publications

References 9 publications

Surgical Strategy in Patients with Complete Transposition of Internal Organs in Cancer of the Biliopancreatoduodenal Zone

Surgical Strategy in Patients with Complete Transposition of Internal Organs in Cancer of the Biliopancreatoduodenal Zone

Ercp Maneuvers for Situs Inversus Totalis

Whipple procedure for ampulla of Vater cancer in a patient with situs inversus (clinical case)

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