Situs ambiguous anomaly during laparoscopic cholecystectomy in an adult female
Situs anomalies are rare structural defects affecting 0.01% of general population. They present with multisystem structural defects mostly involving cardiovascular, respiratory and GI systems. Situs abnormality with presence of multiple spleen is termed as left atrial isomerism with anatomical and s...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Nigerian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2020;volume=26;issue=1;spage=72;epage=77;aulast=Joshi |
| _version_ | 1828415757277462528 |
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| author | Brij Mohan Joshi Sumitoj Singh Ashok Kumar Mandeep Singh Sandhu Deepak Rana |
| author_facet | Brij Mohan Joshi Sumitoj Singh Ashok Kumar Mandeep Singh Sandhu Deepak Rana |
| author_sort | Brij Mohan Joshi |
| collection | DOAJ |
| description | Situs anomalies are rare structural defects affecting 0.01% of general population. They present with multisystem structural defects mostly involving cardiovascular, respiratory and GI systems. Situs abnormality with presence of multiple spleen is termed as left atrial isomerism with anatomical and structural differences to its countertype situs ambiguous with asplenia (right atrial isomerism). In this case report, we present an adult case of situs ambiguous anomaly which was diagnosed incidentally during laparoscopic cholecystectomy. The patient had enlarged left lobe of liver, multiple splenules on right side, malrotated small and large gut, interrupted inferior vena cava with azygos continuation, and bilateral bilobed lungs. It is concluded that variations in situs ambiguous cases differ and a single description is not possible. It is crucial to reveal these variations by using imaging modalities and being aware of them prior to surgery and invasive intervention to prevents the possible risks and complications. |
| first_indexed | 2024-12-10T13:51:53Z |
| format | Article |
| id | doaj.art-511cb15a36da4295aa90a4f4deb477dd |
| institution | Directory Open Access Journal |
| issn | 1117-6806 |
| language | English |
| last_indexed | 2024-12-10T13:51:53Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Journal of Surgery |
| spelling | doaj.art-511cb15a36da4295aa90a4f4deb477dd2022-12-22T01:46:09ZengWolters Kluwer Medknow PublicationsNigerian Journal of Surgery1117-68062020-01-01261727710.4103/njs.NJS_47_18Situs ambiguous anomaly during laparoscopic cholecystectomy in an adult femaleBrij Mohan JoshiSumitoj SinghAshok KumarMandeep Singh SandhuDeepak RanaSitus anomalies are rare structural defects affecting 0.01% of general population. They present with multisystem structural defects mostly involving cardiovascular, respiratory and GI systems. Situs abnormality with presence of multiple spleen is termed as left atrial isomerism with anatomical and structural differences to its countertype situs ambiguous with asplenia (right atrial isomerism). In this case report, we present an adult case of situs ambiguous anomaly which was diagnosed incidentally during laparoscopic cholecystectomy. The patient had enlarged left lobe of liver, multiple splenules on right side, malrotated small and large gut, interrupted inferior vena cava with azygos continuation, and bilateral bilobed lungs. It is concluded that variations in situs ambiguous cases differ and a single description is not possible. It is crucial to reveal these variations by using imaging modalities and being aware of them prior to surgery and invasive intervention to prevents the possible risks and complications.http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2020;volume=26;issue=1;spage=72;epage=77;aulast=Joshiheterotaxysitus ambiguousvisceral malrotation |
| spellingShingle | Brij Mohan Joshi Sumitoj Singh Ashok Kumar Mandeep Singh Sandhu Deepak Rana Situs ambiguous anomaly during laparoscopic cholecystectomy in an adult female Nigerian Journal of Surgery heterotaxy situs ambiguous visceral malrotation |
| title | Situs ambiguous anomaly during laparoscopic cholecystectomy in an adult female |
| title_full | Situs ambiguous anomaly during laparoscopic cholecystectomy in an adult female |
| title_fullStr | Situs ambiguous anomaly during laparoscopic cholecystectomy in an adult female |
| title_full_unstemmed | Situs ambiguous anomaly during laparoscopic cholecystectomy in an adult female |
| title_short | Situs ambiguous anomaly during laparoscopic cholecystectomy in an adult female |
| title_sort | situs ambiguous anomaly during laparoscopic cholecystectomy in an adult female |
| topic | heterotaxy situs ambiguous visceral malrotation |
| url | http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2020;volume=26;issue=1;spage=72;epage=77;aulast=Joshi |
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