Thursday, December 13, 2012

Common bile duct adenocarcinoma in a patient with situs inversus totalis: report of a rare case

Situs inversus totalis Represents an unusual anomaly caratterizzata by a mirror-image transposition of the abdominal viscera and thoracic. Often It Occurs concomitantly with other disorders That Make difficult diagnosis and management of abdominal pathology.

The relationship between situs inversus totalis and cancer remains unclear.Case presentationWe describe a 33-year old Guinean man with situs inversus totalis who presented with obstructive jaundice. Imaging and endoscopic modalities Demonstrated a mass of distal common bile duct biopsy Which Identified an adenocarcinoma.

The patient was successfully treated by adjuvant chemoradiation cephalic pancreaticoduodenectomy Followed by and he is doing well without recurrence 8 months after surgery.

Conclusion: The occurrence of bile duct adenocarcinoma in patient with situs inversus totalis accounts as a rare coincidence. In this setting, When the tumor is resectable, surgical management Should be Considered without contraindication and must be preceded by a careful preoperative staging.

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