内臓逆位患者に対する経皮内視鏡的胃瘻造設術の1 例

This case involved a 66-year-old male patient. He had left hemiplegia due to stroke and cervical injury and was experiencing repeated episodes of aspiration pneumonia. He could not take nutrients orally and was admitted to our hospital for gastrostomy placement. Chest radiography and abdominal computed tomography revealed complete visceral inversion. Percutaneous endoscopic gastrostomy was performed to prevent aspiration pneumonia. The gastrostomy was successfully used without any complications, and the patient was transferred to another hospital on the 27th postoperative day. Patients with complete visceral inversion are relatively rarely encountered in clinical practice, and percutaneous endoscopic gastrostomy in these patients has not been previously reported because the techniques for positioning and intragastric manipulation have not been established.