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病人女,67岁。因左上腹部隐痛伴皮肤、巩膜黄染2个月于2005—08-16入院。MRI提示高位胆管扩张。入院后查心电图提示窦性心律,右位心。胸片心脏反位,CT提示胆囊位于左位,有实性占位,腹腔全脏器反位。5d后在全麻下行剖腹探查术,取左肋缘下斜切口,术中见:腹腔脏器完全反位,脾位于右上腹,肝及胆囊位于左上腹,胃大弯在右侧,十二指肠曲在左侧,胆囊触及约7 cm×5 cm大小肿物,质
Female patient, 67 years old. Due to the left upper abdomen with pain and skin, scleral yellow dye 2 months in 2005-08-16 admission. MRI prompts high bile duct dilatation. Check after admission ECG prompted sinus rhythm, right centripetal. Chest X-ray anti-bit, CT tips gallbladder in the left position, a solid placeholder, anti-abdominal peritoneal anti-position. 5d after laparotomy under general anesthesia, oblique incision to take the left costal margin, intraoperative see: abdominal organs completely anti-position, the spleen is located in the right upper quadrant, the liver and gallbladder in the left upper quadrant, stomach big bend in the right side, twelve The bowel is on the left side, the gallbladder touches a mass of about 7 cm × 5 cm in size