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증 례 : 내시경역행담췌관조영술을 이용한 내장 역위증 환자의 총담관결석 제거
여승재 ( Seong Jae Yeo ),허준 ( Jun Heo ),조창민 ( Chang Min Cho ),정민규 ( Min Kyu Jung ),박수영 ( Soo Young Park ),김명희 ( Myung Hi Kim ),이상원 ( Sangwon Lee ),유나리 ( Nari Yu ) 대한소화기학회 2015 대한소화기학회지 Vol.66 No.6
Situs inversus is an extremely rare autosomal recessive disease with left-right inversion of internal organs. It carries technical difficulties in diagnostic or therapeutic procedures. There have been a few case reports on stone extraction by ERCP in situs inversus patients. ERCP techniques in situs inversus can be classified into conventional method and mirror image method. In mirror image method, the procedure is performed with the patient in the right lateral decubitus position and the endoscopist on the patient’s left side. Until now, there is no consensus about which method is better. Herein, we report an unusual case of choledocholithiasis in a patient with situs inversus who underwent ERCP for stone extraction by both conventional method and mirror image method.(Korean J Gastroenterol 2015;66:354-358)