A Case of Pancreaticoduodenectomy for Intraductal Papillary-Mucinous Neoplasm with Situs Inversus Totalis

Abstract

A 64-year-old man, who diagnosed situs inversus totalis in junior high school day, found to have a cystic tumor of the pancreatic head when he had a distal gastrectomy at 61 years old. He admitted to our hospital because of a tendency to increase the tumor. Detailed examination revealed the diagnosis of intraductal papillary-mucinous neoplasm (IPMN). Then pancreaticoduodenectomy with a modified Childʼs method was performed. The abdominal anatomy was preoperatively assessed by computed tomography, magnetic resonance imaging and 3D-simulation. Because we confirmed anatomy and no vascular mutation by preoperative knowledge, therefore we accomplished the operation not to usually change. The postoperative course was uneventful and he was discharged on the 35^th postoperative day. Herein, we report our experience with some bibliographical comments.