Laparoscopic cholecystectomy in situs inversus totalis

Jamal Hamdi, Omar Abu Hamdan
Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association 2008, 14 (1): 31-2
Situs inversus totalis is a rare defect with genetic predisposition that may present difficulties in the diagnosis and management of abdominal pathology due to mirror-image anatomy. Occasionally, these patients may present with acute cholecystitis. Laparoscopic cholecystectomy is the standard treatment for symptomatic cholelithiasis; however, the technique has to be varied for the treatment of situs inversus totalis. To the best of our knowledge, we report the first case in Saudi Arabia of a successful laparoscopic cholecystectomy in a patient with situs inversus totalis. The technique is presented and the pitfalls are discussed with a review of the relevant literature.

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