title: [Periampullary carcinoma with situs inversus totalis: case report and review of the literature].
abstract: OBJECTIVE
  To explore the diagnosis and surgical treatment of patients with periampullary carcinoma and situs inversus totalis.
  
  
  METHODS
  The data of a patient with periampullary carcinoma and complete situs inversus totalis, a rare disease treated in our hospital on Mar. 2006, was reported, and relative articles were reviewed.
  
  
  RESULTS
  This patient was diagnosed with stage I to II of periampullary carcinoma. Bilirubin was recovered one week postoperatively. Incomplete adhesive ileus at gastroenteral anastomosis appeared 2 weeks after the operation and was healed by nutritional support, acupuncture, endoscopic drainage and enteral nutrition. From 1936 to 2006, 15 malignant tumors with situs viscerum inversus totalis were reported, only 5 periampullary carcinomas with situs viscerum inversus totalis were reported.
  
  
  CONCLUSIONS
  Surgical operation should be considered for malignant tumor patients with situs inversus totalis without contraindication. Attention should be paid to the opposite anatomical structure in this kind of situation.
authors: Department of Abdominal Surgery, Cancer Hospital, Fudan University, Shanghai 200032, China. drfh-1805@hotmail.com
authors: Hong
authors: H
authors: Fu
authors: Min-kan
authors: MK
authors: Gao
authors: Xing-long
authors: XL
authors: Qu
authors: Guo-fang
authors: GF
authors: Sun
authors: Lei
authors: L
authors: Shen
mesh_terms: D014670:Ampulla of Vater; D004379:Duodenal Neoplasms / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications; D012857:Situs Inversus / Q000150:complications*