A Case of Common Bile Duct Carcinoma with Situs Inversus Totalis

Norihito Hosoi, Takashi Saito and Katsuhiko Suzuki

Department of Surgery, Honjo Daiichi Hospital

We treated common bile duct carcinoma with sitsu inversus totalis in a 70-year-old man hospitalized due to icterus. Chest x-ray revealed dextrocardia. Abdominal ultrasonography showed situs inversus totalis and dilation of the intrahepatic and common bile duct. Magnetic resonance cholangiography and percutaneous transhepatic cholangiography showed an obstruction of the upper bile duct. We performed, based on a diagnosis of common bile duct carcinoma, the resection of the bile duct and right lobectomy because the tumor invased directly to the right hepatic artery and right hepatic duct. This is, to our knowladge, only the sixth case of common bile duct carcinoma with situs inversus viscerum reported in the Japanese literrature.

Key words
situs inversus totalis, common bile duct carcinoma

Reprint requests
Norihito Hosoi Department of Surgery, Honjo Daiichi Hospital 110 Iwabuchishita, Detomachi Aza Honjo-shi, Akita, 015-8567 JAPAN

Accepted
May 23, 2001

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