Laparoscopic cholecystectomy in situs inversus totalis: a case report
نویسندگان
چکیده
BACKGROUND Laparoscopic cholecystectomy is one of the commonest surgical procedures carried out in the world today. Occasionally patients present with undiagnosed situs inversus and acute cholecystitis. We discuss one such case and outline how the diagnosis was made and the pitfalls encountered during surgery and how they were overcome. CASE PRESENTATION A 32 year old female presented to our department with epigastric pain radiating through to the back. A diagnosis of acute cholecystitis in a patient with situs inversus totalis was made following clinical examination and radiological investigation. Laparoscopic cholecystectomy was subsequently performed and the patient made an uneventful recovery. CONCLUSION Situs inversus presenting with acute cholecystitis is very rare. The surgeon must appreciate that care should be taken to set up the operating theatre in the mirror image of the normal set-up for cholecystectomy, and that right handed surgeons must modify their technique to adapt to the mirror image anatomy.
منابع مشابه
Laparoscopic cholecystectomy in a case of situs inversus totalis: a review of technical challenges and adaptations
Situs inversus totalis is a rare congenital condition, characterized by the transposition of the thoracic and abdominal viscera, resulting in a mirror image of normal anatomy. Even though situs inversus does not predispose to gall stones, a laparoscopic cholecystectomy, in a case of situs inversus, can prove to be a technically challenging procedure, especially for the right-handed surgeon. In ...
متن کاملLaparoscopic Cholecystectomy in Situs Inversus Totalis patient– A rare case report
Laparoscopic cholecystectomy is the standard treatment for cholelithiasis. The first known report on laparoscopic cholecystectomy in a patient with situs inversus totalis (SIT) was in 1991 by Campos and Sipes [1]. We are reporting a rare case of symptomatic Cholelithiasis with which was operated successfully with laparoscopic cholecystectomy.
متن کاملA case report of laparoscopic cholecystectomy in situs inversus totalis: Technique and anatomical variation
BACHGROUND Since the first laparoscopic cholecystectomy report in situs inversus totalis in 1991, the safety of this procedure has still been questionable. A few surgeons were preferred to perform an open cholecystectomy due to technical difficulties as well as various anatomical varieties that can be faced during surgery. CASE PRESENTATION We report a case report of a 50 years old patient ca...
متن کاملCholecystectomy in situs inversus totalis: a laparoscopic approach
PURPOSE To report and describe a safe approach to laparoscopic cholecystectomy in patients with situs inversus totalis. METHODS We present the case of a 61-year-old male who was diagnosed with gallstones and situs inversus totalis during work-up for epigastric pain. Laparoscopic cholecystectomy was performed in mirror-image to the standard approach, with the surgeon standing on the patient's ...
متن کاملLaparoscopic Cholecystectomy in Situs Inversus Totalis
Situs inversus totalis is a rare condition where the organs in the body is placed in the opposite side. When such patient presents with the diseases of the intra abdominal organs the diagnosis is challenging and the operative procedure to be performed will be difficult. This may require the anticipation of variations in anatomy, ergonomic changes required during surgery and mastery over the ope...
متن کاملFluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature review
BACKGROUND Situs inversus totalis is a rare autosomal disorder in which the patient's affected visceral organs are a perfect mirror image of their normal positions. Surgery in these patients is technically challenging. Minimally invasive surgery such as laparoscopic cholecystectomy is the standard treatment for symptomatic cholelithiasis, but it can be difficult to perform. Laparoscopic cholecy...
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ورودعنوان ژورنال:
- BMC Surgery
دوره 5 شماره
صفحات -
تاریخ انتشار 1996