Korean J Gastrointest Endosc.  2009 Feb;38(2):98-102.

Endoscopy and Colonoscopy in a Situs Inversus Totalis Patient: A Case Report

  • 1Department of Internal Medicine, MEDISCAN Health Promotion Center, Seoul, Korea. shcdoc@naver.com


Situs inversus totalis (SIT) is a very rare autosomal recessive condition that occurs in 1 out of 8,000~20,000 people. Many endoscopic and colonoscopic procedures are performed in SIT patients, and they are difficult due to a complete left-right reversal of the internal organs. However, a throughout review of the endoscopic and colonoscopic procedures in such patients has never been conducted. A previous appendectomy and a large uterine myoma may make a colonoscopic procedure more difficult due to the adhesion and external compression. We performed endoscopy and colonoscopy without pain or complication in a SIT patient who had undergone appendectomy and had a large uterine myoma. We attribute this good result to careful preparation and sticking to the general principles of colonoscopic procedures.


Situs inversus totalis; Endoscopy; Colonoscopy; Appendectomy
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