title: Therapeutic endoscopic retrograde cholangiopancreatography in a patient with situs inversus viscerum.
abstract: Situs inversus viscerum (SIV) is a rare congenital condition characterized by complete transposition of all viscera. This anatomical pathology makes endoscopic retrograde cholangiopancreatography (ERCP) technically difficult. We report a new case of a 70-year-old Chinese male with total SIV who had obstructive jaundice. Magnetic resonance cholangiopancreatography demonstrated a number of stones in the gallbladder and common bile duct (CBD). Therapeutic ERCP was performed to relieve biliary obstruction and remove the CBD stones. This procedure started with the patient in a supine position and the endoscopist at the left side of the table. When the papilla was maintained, the patient was repositioned to a prone position and standard endoscopic sphincterotomy and endoscopic papillary balloon dilatation procedures were conducted. ERCP was performed successfully and relevant complications did not occur in this patient. We also present a review of the literature published between 1985 and 2014 in the PubMed and EMBASE databases. There were eight published cases during this period, with one each from America, Finland, India, Italy, South Korea and Pakistan, and two from Spain. Our case is the first reported in China.
authors.affiliation: Yi Hu, Hao Zeng, Xiao-Lin Pan, Nong-Hua Lv, Zhi-Jian Liu, Yang Hu, Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Hu
authors.affiliation: Yi Hu, Hao Zeng, Xiao-Lin Pan, Nong-Hua Lv, Zhi-Jian Liu, Yang Hu, Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
authors.forename: Hao
authors.initials: H
authors.lastname: Zeng
authors.affiliation: Yi Hu, Hao Zeng, Xiao-Lin Pan, Nong-Hua Lv, Zhi-Jian Liu, Yang Hu, Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
authors.forename: Xiao-Lin
authors.initials: XL
authors.lastname: Pan
authors.affiliation: Yi Hu, Hao Zeng, Xiao-Lin Pan, Nong-Hua Lv, Zhi-Jian Liu, Yang Hu, Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
authors.forename: Nong-Hua
authors.initials: NH
authors.lastname: Lv
authors.affiliation: Yi Hu, Hao Zeng, Xiao-Lin Pan, Nong-Hua Lv, Zhi-Jian Liu, Yang Hu, Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
authors.forename: Zhi-Jian
authors.initials: ZJ
authors.lastname: Liu
authors.affiliation: Yi Hu, Hao Zeng, Xiao-Lin Pan, Nong-Hua Lv, Zhi-Jian Liu, Yang Hu, Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Hu
mesh_terms: D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D042883:Choledocholithiasis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D004106:Dilatation; D042882:Gallstones / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D041781:Jaundice, Obstructive / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008297:Male; D056888:Patient Positioning; D012857:Situs Inversus / Q000150:complications* / Q000175:diagnosis; D016717:Sphincterotomy, Endoscopic; D016896:Treatment Outcome
keywords: Common bile duct; Endoscopic papillary balloon dilatation; Endoscopic retrograde cholangiopancreatography; Endoscopic sphincterotomy; Situs inversus