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...

INTRODUCTION The incidence of situs inversus thought to be in the range of 1:10,000-1:20,000 according to Mayo et al. PRESENTATION OF CASE A forty-five year-old lady presented with pain in the left hypochondrium and was diagnosed to have acute cholecystitis with choledocholithiasis in situs inversus totalis. Patient underwent endoscopic sphincterotomy and common bile duct stone extraction in ...

BACKGROUND Although various endoscopic techniques in situs inversus have been reported, endoscopic retrograde cholangiopancreatography (ERCP) in patients with situs inversus is always challenging even for an experienced endoscopist. We performed ERCP using two different techniques, and compare the merits of each technique. CASE PRESENTATION A 74-year-old woman presented with epigastric pain a...

Situs inversus totalis is an uncommon anatomic anomaly that complicates diagnosis and management of acute abdominal pain. Expedient diagnosis of common intraperitoneal disease processes such as biliary colic, acute appendicitis and diverticulitis is often delayed as a result of seemingly incongruous physical findings. We present the case of a young woman with prior emergency room visits for com...

Situs inversus totalis with dextrocardia is a rare congenital anomaly. This is a reverse isomeric form of the thoracic and abdominal viscera or the complete mirror image. Left atrial approach for mitral valve surgery is required particularity in the treatment. Herein, we present a case of situs inversus, dextrocardia, and rheumatic mitral regurgitation. Standing in the left side of the patient,...

Left and right in the embryo is automatically defined by the formation of the anteroposterior and dorsoventral axes. In an asymmetrical organism, specification of the left-right axis must incorporate two distinct processes, the generation of asymmetry and its orientation or handedness. The orientation of the heart and abdominal organs in vertebrates is non-random and highly conserved both acros...

Background: Situs inversus totalis (SIT) is a rare congenital anomaly characterized by the mirror-image transposition of organs. To date, approximately 100 cases laparoscopic cholecystectomy (LC) have been reported in patients with situs inversus. Although surgery was successfully completed all these cases, operation known to be technically challenging Herein, we report case cholelithiasis SIT ...

We report a case of a Roux-en-Y gastric bypass (RYGB) in a morbidly obese patient with situs inversus totalis. Current experience with bariatric surgery in patients with situs inversus totalis shows that they can be operated on safely. The open approach in this case of a difficult anatomy may be beneficial and safer for the patient. The technique itself requires only minor modifications. The re...

We report a rare case of incomplete congenital duodenal obstruction (Type 1 duodenal atresia) in association with situs inversus totalis presenting with gastric perforation in a neonate. The infantogram was suggestive of perforation with air under diaphragm along with dextrocardia. On exploration, a pin point perforation at fundus near lesser curvature along with situs inversus was noted. Prima...