Korean Journal of Gastrointestinal Endoscopy 2009;38(2): 98-102.
전내장역위증(situs inversus totalis) 환자의 위 및 대장내시경 검사 경험 1예
조승현
메디스캔 종합건강검진센터 내과
Endoscopy and Colonoscopy in a Situs Inversus Totalis Patient:A Case Report
Seung Hyun Cho, M.D.
Department of Internal Medicine, MEDISCAN Health Promotion Center, Seoul, Korea
Abstract
Situs inversus totalis (SIT) is a very rare autosomal recessive condition that occurs in 1 out of 8,000~20,000 people. Many endoscopic and colonoscopic procedures are performed in SIT patients, and they are difficult due to a complete left-right reversal of the internal organs. However, a throughout review of the endoscopic and colonoscopic procedures in such patients has never been conducted. A previous appendectomy and a large uterine myoma may make a colonoscopic procedure more difficult due to the adhesion and external compression. We performed endoscopy and colonoscopy without pain or complication in a SIT patient who had undergone appendectomy and had a large uterine myoma. We attribute this good result to careful preparation and sticking to the general principles of colonoscopic procedures. (Korean J Gastrointest Endosc 2009;38:98-102)
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