Avoiding misdiagnosis of duodenal papilla adenocarcinoma in a situs inversus totalis patient via laparoscopic pancreaticoduodenectomy: A rare case report

Frontiers in Surgery

Surgery

Yu Zhu¹  Ming-liang Chen²  Wu Pang²  Ya-kun Wu²  Hao Liang² 

[1] Correspondence:;Department of Hepatobiliary Surgery, Suining Central Hospital, Suining, China;

关键词: situs inversus totalis;    laparoscopic pancreaticoduodenectomy;    misdiagnosis;    duodenal papilla adenocarcinoma;    case report;   

DOI  :  10.3389/fsurg.2022.1058580

 received in 2022-09-30, accepted in 2022-11-11,  发布年份 2023

来源: Frontiers

【 摘 要 】

Situs inversus totalis is a rare congenital anatomical anomaly that causes some difficult problems for surgeons when performing an operation. However, without histopathology specimens from surgery, a misdiagnosis of cancer may be unavoidable, in addition to affecting the improvement of prognosis. This study reports a rare patient with situs inversus totalis who presented with the main complaints of pruritus and vague abdominal pain. She was first misdiagnosed with cholangiocarcinoma and was finally diagnosed with duodenal papilla adenocarcinoma via laparoscopic pancreaticoduodenectomy. Situs inversus totalis was not a contraindication for surgery. Skilled surgeons and complete preparation during the perioperative period are two important keys to successful surgeries. Performing laparoscopic pancreaticoduodenectomy for patients with situs inversus totalis to avoid misdiagnosis of cancer and tailor appropriate therapy plans is cost-effective.

【 授权许可】

Unknown   
© 2023 Liang, Wu, Pang, Chen and Zhu.