Gallstone examination, unexpectedly discovered right heart, reversed internal organs

A male patient (63 years old, residing in Hanoi) was found to have reversed visceral position with the heart on the right side. He had successful gallstone surgery after a complicated surgery.

Patients with severe complications of gallstones and complex malformations

A male patient (63 years old, in Hanoi ) was recently admitted to E Hospital for treatment due to gallstones. Through examination and imaging results, doctors discovered that the patient had a congenital defect of complete situs inversus, with all organs in the abdomen and chest being arranged in the opposite position compared to normal people. The heart is on the right side, instead of the left side of the chest.

Gallstone patient with congenital anomaly of complete situs inversus, heart on the right side of the chest, had successful surgery

PHOTO: XUAN THANH

According to Master, Doctor Nguyen Khac Diep, Department of Digestive Surgery, Hospital E, situs inversus is a rare congenital defect, inherited by a recessive gene on the autosomal chromosome, with an occurrence rate of only about 1/5,000 to 1/20,000 people depending on the region.

In people with this condition, the internal organs in the chest and abdomen are arranged in a "mirror image" compared to normal structure.

Situs inversus does not increase the risk of gallstones, but it causes many difficulties in diagnosis and treatment, because the clinical signs and anatomical images are reversed.

With the above patient, doctors assessed that the case was complicated because the size of the stone was too large, causing complications of biliary tract infection, biliary obstruction, acute pancreatitis due to common bile duct stones, on the basis of the patient's complete situs inversus.

Situs inversus malformation causes the entire stomach, duodenum, liver, bile ducts and gallbladder to have anatomical changes, causing many difficulties in the process of dissecting and locating the structures. Doctors must hold interdisciplinary consultations to come up with optimal and safe treatment plans.

Because the patient's organs were completely reversed, during surgery, the surgical team was forced to perform the opposite operations compared to normal surgeries, requiring a lot of experience to handle safely and successfully.

Currently, the patient has recovered and been discharged from the hospital.

Doctors of the Department of Digestive Surgery advise that gallstones are a fairly common disease and can cause many dangerous complications if not detected and treated promptly, especially in complicated cases like this patient's.

Therefore, when you have symptoms such as: lower abdominal pain, high fever, jaundice, yellow eyes, you need to go immediately to a reputable medical facility with full specialties for examination and treatment to avoid danger to your life.

Source: https://thanhnien.vn/kham-soi-mat-bat-ngo-phat-hien-tim-ben-phai-phu-tang-dao-nguoc-18525090812092119.htm