دورية أكاديمية
Successful Endoscopic Treatment of a Pancreatic Pseudocyst in a Patient with Situs Inversus Totalis and Upper GI Duplication.
| العنوان: | Successful Endoscopic Treatment of a Pancreatic Pseudocyst in a Patient with Situs Inversus Totalis and Upper GI Duplication. |
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| المؤلفون: | Kozyk M; Department of Internal Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, MI, USA., Usenko OY; Department of Thoracoabdominal Surgery, O.O. Shalimov National Institute of Surgery and Transplantology, Kyiv, Ukraine., Kessler SA; Oakland University William Beaumont School of Medicine, Rochester, MI, USA., Shkarban VP; Department of Pancreatic Surgery, O.O. Shalimov National Institute of Surgery and Transplantology, Kyiv, Ukraine., Tereshkevych IS; Department of Endoscopy, O.O. Shalimov National Institute of Surgery and Transplantology, Kyiv, Ukraine., Babii IV; Department of Endoscopy, O.O. Shalimov National Institute of Surgery and Transplantology, Kyiv, Ukraine., Sanzharov OM; Department of Endoscopy, O.O. Shalimov National Institute of Surgery and Transplantology, Kyiv, Ukraine., Strubchevska K; Department of Internal Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, MI, USA. |
| المصدر: | The American journal of case reports [Am J Case Rep] 2024 Mar 07; Vol. 25, pp. e942006. Date of Electronic Publication: 2024 Mar 07. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: International Scientific Information, Inc Country of Publication: United States NLM ID: 101489566 Publication Model: Electronic Cited Medium: Internet ISSN: 1941-5923 (Electronic) Linking ISSN: 19415923 NLM ISO Abbreviation: Am J Case Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2014- > : Smithtown, NY : International Scientific Information, Inc. Original Publication: Albertson, NY : International Scientific Literature, Inc. |
| مواضيع طبية MeSH: | Dextrocardia*/complications , Pancreatic Pseudocyst*/diagnostic imaging , Pancreatic Pseudocyst*/surgery , Pancreatic Pseudocyst*/complications , Situs Inversus*/complications , Situs Inversus*/diagnosis, Female ; Humans ; Middle Aged ; Abdomen ; Tomography, X-Ray Computed |
| مستخلص: | BACKGROUND Duplication of the gastrointestinal tract is a rare congenital malformation that can develop in any part of the digestive tract. These duplications may be asymptomatic into adult age. Situs inversus totalis is a rare congenital anomaly characterized by a mirror transposition of thoracic and abdominal organs. We present a case of a pancreatic pseudocyst in a patient with a combination of situs inversus totalis and doubling of the esophagus, stomach, and first part of the duodenum. CASE REPORT A 64-year-old woman presented with epigastric pain. Abdominal computed tomography revealed a pancreatic pseudocyst and a previously identified duplication of the esophagus, stomach, and duodenum with situs inversus totalis. The patient underwent esophagogastroduodenoscopy (EGD) with endoscopic ultrasonography for pseudocyst drainage. During EGD, a bifurcation of the esophagus was found. Duplication of the esophagus, stomach, and first part of the duodenum was evident on further advancement. A week later, there was repeated filling of the pseudocyst with a liquid component, and the patient underwent cystogastrostomy with stenting. Five months after discharge, the stent was removed without complications. CONCLUSIONS Duplication of the gastrointestinal tract and situs inversus totalis are very rare congenital malformations that require early diagnosis. While situs inversus totalis does not represent any medical disadvantage, physicians should be aware of abnormal anatomy before procedures to prepare specialists for this in case of the need for special techniques. Endoscopic treatment of pancreatic pseudocysts is safe and effective even in such rare cases. The use of endoscopic methods also minimizes intervention and decreases the length of the patients' stays in the hospital. |
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| تواريخ الأحداث: | Date Created: 20240307 Date Completed: 20240311 Latest Revision: 20240318 |
| رمز التحديث: | 20240319 |
| مُعرف محوري في PubMed: | PMC10932831 |
| DOI: | 10.12659/AJCR.942006 |
| PMID: | 38451882 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1941-5923 |
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| DOI: | 10.12659/AJCR.942006 |