ABSTRACT
We report the case of a 25 year old male patient who suffered a traffic accident. He was admitted to the ICU of our hospital and underwent a two step intervention for main pancreatic duct transection.
Subject(s)
Abdominal Injuries/complications , Organ Sparing Treatments/methods , Pancreatic Ducts/injuries , Pancreatic Ducts/surgery , Pancreaticojejunostomy/methods , Pancreatitis/surgery , Abdominal Injuries/etiology , Accidents, Traffic , Adult , Diabetes Mellitus/prevention & control , Drainage , Humans , Male , Pancreas/injuries , Pancreas/surgery , Pancreatitis/etiology , Treatment OutcomeABSTRACT
Various congenital anomalies, organ transpositions impose special demands on building up the diagnosis; the mirror image of the abdominal organs tests the skills of the surgeon. We report a case of a 68 year old female patient, with a known situs inversus totalis, who underwent a laparoscopic cholecystectomy. We discuss our diagnostic steps (such as US, ERCP and EST), the variation of maneuvers used during the operation. No iatrogenic event occurred. We also stress that the surgeon should be alert of possible local anatomic variations and, if needed, conversion should be a solution of choice.
