Successful Stone Removal by Endoscopic Retrograde Cholangiopancreatography in Situs Inversus Totalis with Billroth-II Gastrectomy
نویسندگان
چکیده
An 82-year-old female with a history of situs inversus totalis visited our hospital with complaints of abdominal pain and fever for 2 days. She had history of diabetes mellitus, cerebral infarction, and Alzheimer’s disease, and underwent Billroth-ll (B-II) gastrectomy due to stomach cancer 15 years previously. General appearance was acute ill looking and there was tenderness on right upper quadrant of abdomen. Laboratory findings were as follows: white blood cell, 22,120/mm; total bilirubin, 3.63 mg/dL; direct bilirubin, 3.57 mg/dL; aspartate aminotransferase, 625 IU/L; alanine aminotransferase, 629 IU/L; alkaline phosphatase, 2,132 IU/L; and γ-glutamyl transpeptidase, 363 IU/L. An ab-
منابع مشابه
Gallbladder agenesis with a primary choledochal stone in a patient with situs inversus totalis
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