Situs Ambiguous Anomaly during Laparoscopic Cholecystectomy in an Adult Female.

Autor:	Joshi BM; Department of General Surgery, Government Medical College, Amritsar, Punjab, India., Singh S; Department of General Surgery, Government Medical College, Amritsar, Punjab, India., Kumar A; Department of General Surgery, Government Medical College, Amritsar, Punjab, India., Sandhu MS; Department of General Surgery, Government Medical College, Amritsar, Punjab, India., Rana D; Department Radiology, Government Medical College, Amritsar, Punjab, India.
Jazyk:	angličtina
Zdroj:	Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society [Niger J Surg] 2020 Jan-Jun; Vol. 26 (1), pp. 72-77. Date of Electronic Publication: 2020 Feb 10.
DOI:	10.4103/njs.NJS_47_183
Abstrakt:	Situs anomalies are rare structural defects affecting 0.01% of general population. They present with multisystem structural defects mostly involving cardiovascular, respiratory and GI systems. Situs abnormality with presence of multiple spleen is termed as left atrial isomerism with anatomical and structural differences to its countertype situs ambiguous with asplenia (right atrial isomerism). In this case report, we present an adult case of situs ambiguous anomaly which was diagnosed incidentally during laparoscopic cholecystectomy. The patient had enlarged left lobe of liver, multiple splenules on right side, malrotated small and large gut, interrupted inferior vena cava with azygos continuation, and bilateral bilobed lungs. It is concluded that variations in situs ambiguous cases differ and a single description is not possible. It is crucial to reveal these variations by using imaging modalities and being aware of them prior to surgery and invasive intervention to prevents the possible risks and complications. Competing Interests: There are no conflicts of interest. (Copyright: © 2020 Nigerian Journal of Surgery.)
Databáze:	MEDLINE
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