Laparoscopic Cholecystectomy in Situs Inversus with Left-sided Gall Bladder

Situs inversus totalis is a rare congenital disorder occurring in 1:5,000 to 1:20,000 of the births. It may be partial, where the transposition is confined to either the abdominal or the thoracic viscera, or complete, i.e. involving both cavities. Change in anatomical position of organs gives rise to abnormal location of signs and symptoms, thus posing a difficulty in diagnosing the ailment, and also demands greater surgical skill. While there is no evidence to suggest that gall stones are more or less common in people with situs inversus, the presentation with left upper quadrant pain may delay the diagnosis of symptomatic gall stones. The approach in the operating room requires modification. We are reporting a case with complete situs inversus who presented with features of chronic cholecystitis and underwent laparoscopic cholecystectomy.