ERCP-ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) MANEUVERS FOR SITUS INVERSUS TOTALIS

Video Transcription

Endoscopy, Retrograde, Cholangiopancreatography, ERCP, Maneuvers for Citrus Invertebrates Totalis. Primer Author, Mateus Funari.  The authors have nothing to disclose. Case Representation. A 50-year-old woman with a medical history of Citrus Invertebrates Totalis, diagnosis  of adenocarcinoma in the pancreatic head, causing obstructive jaundice. ERCP in external service showed biliary sphincterotomy without stenting, obtaining jaundice resolution.  After one year, the patient underwent a palliative chemotherapy for reflux, present recorded jaundice, notably having been 20. He feared for a new ERCP.  In this tomography, we demonstrate the anatomical difference in patients with Citrus Invertebrates Totalis.  Here we demonstrate the difference in the maneuver's performance on this patient compared to the conventional ERCP.  After the maneuvers and centralization of the major duodenum papillae, we found the papilla with tumor infiltration.  Here we see the free-release evidence of the cannulation attempt.  Godward cannulation followed by contrast median injection.  Here we see the distal CBD restriction and abstract dilatation.  Here we highlight how we find the margin in the regular anatomy and in the patient with C-universus totalis.  Cholangitis is evidenced during sphincter optomy.  Put it on drainage with a 10 F per 6 cm double big tail plastic stand.  This is the final aspect.  digits, and a 10-inch x 6-cm double-pigtail plascobulary stent was placed. Clinical Implications In this case, we highlight the technical challenges  that the ultrasound manoeuvres are completely opposite to the user and the interpretation of the image in a hygroscopic world.  The patient received antibiotics during the procedure for 7 days afterward. She brings a good post-procedural recovery and was charged after 2 days with a dropout  in the thought of being less than 2.3mg.  Conclusions Side-reversal totalis is a higher congenital anomaly. The RCP in a patient with side-reversal totalis is feasible, however, it might be a technical  challenge for an endoscopy. Due to the anatomical change, the RCP manoeuvres are completely reversed.

Video Summary

The video transcript summarizes a case study of a 50-year-old woman with Citrus Invertebrates Totalis and pancreatic adenocarcinoma causing obstructive jaundice. The patient underwent an ERCP with biliary sphincterotomy, which resolved the jaundice. A year later, the patient had reflux and recorded jaundice, leading to fears of a new ERCP. The video demonstrates the anatomical differences in patients with Citrus Invertebrates Totalis and the challenges faced during the ERCP maneuvers. The procedure involved cannulation, contrast injection, dilation, and placement of a drainage stent. Despite technical challenges, the patient had a good recovery. The study concludes that RCP in patients with Citrus Invertebrates Totalis is feasible but presents unique challenges due to anatomical changes. No credits were mentioned for the video. (109 words)

Asset Subtitle

Honorable Mention

Keywords

Citrus Invertebrates Totalis

pancreatic adenocarcinoma

obstructive jaundice

ERCP

biliary sphincterotomy