Three-port laparoscopic cholecystectomy in a brazilian Amazon woman with situs inversus totalis: surgical approach

Mauro Neiva Fernandes, Ivan Nazareno Campos Neiva, Francisco de Assis Camacho, Lucas Crociati Meguins, Marcelo Neiva Fernandes, Emília Maíra Crociati Meguins
Case Reports in Gastroenterology 2008 May 24, 2 (2): 170-4
Situs inversus totalis (SIT) is an uncommon anomaly characterized by transposition of organs to the opposite side of the body in a mirror image of normal. We report on an adult woman, born and resident in Brazilian Amazonia, presenting acute pain located at the left hypochondrium and epigastrium. During clinical and radiological evaluation, the patient was found to have SIT and multiple stones cholelithiasis. Laparoscopic cholecystectomy was safely performed with the three-port technique in a reverse fashion. In conclusion, this case confirms that three-port laparoscopic cholecystectomy is a safe and feasible surgical approach to treat cholelithiasis even in rare and challenging conditions like SIT.

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