ArticleClinical journal of gastroenterology2021
Successful removal of multiple bile duct stones using a papillary large balloon dilation in a very elderly woman with situs inversus totalis.
Article in Clinical journal of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 5 citations in OpenAlex.
- Managing Choledocholithiasis in Rare Congenital Hepatobiliary Anomalies: A Report of Three Cases.Journal of clinical medicine · 2026Article
- A case report of perihilar cholangiocarcinoma in a patient with situs inversus totalis.Clinical journal of gastroenterology · 2024Article
- Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review.World journal of clinical cases · 2023Review
- Efficacy and safety of ERCP in patients with situs inversus totalis: multicenter case series and literature review.BMC gastroenterology · 2022Review
- ERCP and EUS technique in situs inversus totalis: preparing for a left-sided plot twist.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Situs inversus totalis (SIT) is a rare congenital anomaly in which all viscera are transposed to the opposite side of the body. This uncommon anatomy causes technical difficulties in endoscopic treatment. A 98-year-old woman with SIT was admitted to our hospital complaining of upper abdominal pain and fever. Blood examinations and findings of abdominal computed tomography imaging confirmed the diagnosis of acute pancreatitis and cholangitis associated with biliary stones. After recovering from pancreatitis and cholangitis with conservative treatment, she underwent therapeutic endoscopic retrograde cholangiopancreatography (ERCP) to remove the common bile duct (CBD) stones. The patient and the endoscopist were positioned in the usual ERCP position, and the scope was inserted into the duodenum with an approach in the direction opposite to the routine practice. Biliary cannulation was performed in the direction of 1 o'clock, and the cholangiography showed remarkably dilated CBD filled with numerous stones. Endoscopic papillary large balloon dilation was performed, and the CBD stones were successfully removed. There were no complications, such as bleeding, pancreatitis, or perforation. Over 3 years of follow-up, she had no recurrence of cholangitis or pancreatitis.
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