A Case of Hepatectomy for Total Situs Inversus with Kartagener Syndrome

Hiroyoshi Matsukawa, Takahito Yagi, Hiroshi Sadamori, Hiroaki Matsuda, Susumu Shinoura, Yuzo Umeda, Michiki Narushima, Takayuki Iwamoto, Daisuke Sato and Noriaki Tanaka

Department of Gastroenterological Surgery, Transplant and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry

The clinical treatment of situs inversus is difficult due to the inverted mirror-imaged anatomy and accompanying anomalies. A 55-year-old woman with total situs inversus and Kartagener's syndrome (bronchoectasia, chronic sinusitis and dextrocardia) was found to have a large-sized hepatic angiogenic tumor in the posterior sector and underwent successful hepatectomy. Concomitant anomalous anatomy included interruption of the inferior vena cava at the liver and azygous continuation, hepatic veins flowing into the right atrium, polysplenia, agenesis of the dorsal pancreas, and malrotation of the intestine. In hepatic resection for situs inversus, it is thus important to be aware of this inverted mirror imaging and to confirm organic and vascular anatomical anomalies.

Key words
total situs inversus, Kartagener syndrome, hepatectomy

Reprint requests
Hiroyoshi Matsukawa Department of Gastroenterological, Transplant and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry
2-5-1 Shikata-cho, Okayama, 700-8558 JAPAN

Accepted
May 30, 2007

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