Figure 1From: Pancreaticoduodenectomy for biliary tract carcinoma with situs inversus totalis: difficulties and technical notes based on two casesPreoperative imaging of patient 1. (A) Contrast-enhanced CT scan and (B) coronal image of multidetector-row CT reveal a dilated bile duct. (C) Endoscopic retrograde cholangiography shows distal bile duct stenosis (arrows) and upstream dilation of the bile duct. (D) Three-dimensional angiography with multidetector-row CT shows a left-to-right reversal of the vascular arrangement, but does not show vascular malformation. Ao, aorta; BD, bile duct; CA, celiac artery; CHA, common hepatic artery; ERBD tube, endoscopic retrograde bile duct drainage tube; GB, gallbladder; GDA, gastroduodenal artery; IVC, inferior vena cava; Panc, pancreas; PHA, proper hepatic artery; PV, portal vein; SMA, superior mesenteric artery; SPA, splenic artery.Back to article page