Laparoscopic cholecystectomy in a patient with situs inversus totalis after videolaparoscopic sleeve—Case report

Leon, Fernando Ponce; Fiorencio, Mariana H.; Leal, Camilla P.; Santos, Andre Ribeiro dos

doi:10.1016/j.ijscr.2020.04.045

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Despite the aforementioned, there is no evidence that patients with SIT are predisposed to cholelithiasis [ 8 ]. Physical examination findings can be deceptive in patients with SIT.…”

Section: Discussionmentioning

confidence: 99%

Overcoming Anatomical Challenges: Laparoscopic Cholecystectomy in Situs Inversus Totalis

Meza-Martinez,

Palomino-Payan,

Andrade-Ordoñez

et al. 2023

Cureus

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Situs inversus totalis (SIT) is a rare genetic condition characterized by the sagittal inversion of thoracoabdominal organs. Surgeons may face substantial challenges when dealing with surgical pathologies in SIT patients, particularly those involving the gallbladder and bile ducts, such as cholelithiasis and acute cholecystitis. In this report, we present the case of a 46-year-old male with a previously known diagnosis of SIT, who presented with recurrent episodes of atypical abdominal pain. Cholelithiasis was diagnosed through ultrasound and as a result, elective surgery was scheduled. In addition, we detail the adjustments implemented by our surgical team in the laparoscopic cholecystectomy procedure, which contributed to a successful surgical outcome. Nevertheless, like any patient, those with SIT are not exempt from postoperative complications, as detailed in this case. Hence, we emphasize the importance of comprehensive preoperative diagnostics to reduce the risk of perioperative complications in this group of patients.

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“…Despite the aforementioned, there is no evidence that patients with SIT are predisposed to cholelithiasis [ 8 ]. Physical examination findings can be deceptive in patients with SIT.…”

Section: Discussionmentioning

confidence: 99%

Overcoming Anatomical Challenges: Laparoscopic Cholecystectomy in Situs Inversus Totalis

Meza-Martinez,

Palomino-Payan,

Andrade-Ordoñez

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…However, it is noteworthy to mention that if the patient is not a known case of SIT, presentation, symptoms and signs of many conditions, including cholelithiasis, may pose a diagnostic challenge to clinicians. Imaging, like total abdominal sonography and computed tomography, usually reveals what's hidden, but some patients may suffer for years before being diagnosed, especially in underprivileged countries where even abdominal sonography could be a subject of availability [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy in a Morbidly Obese Patient With Situs Inversus Totalis: A Case Report

Suleimanov¹,

Asker²,

Hawaj³

et al. 2022

Cureus

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Situs inversus totalis (SIT) is a rare congenital condition characterized by a mirror-image transposition of both the abdominal and the thoracic organs. Due to the reversal of organs, laparoscopic cholecystectomy (LC) poses a significant challenge in patients with SIT. After the first reported case of LC in a patient with SIT in 1991, 120 more such reports have been published in the literature, but very few of them were carried out on morbidly obese patients. We report a morbidly obese patient, a known case of SIT, who presented with persistent biliary colic and underwent successful laparoscopic cholecystectomy in our institution. At surgery we used reverse Trendelenburg position with left tilt up and mirror-image of usual laparoscopic cholecystectomy port sites for the procedure. The procedure proved to be challenging, both due to the morbid obesity of the patient and the reversal of organs, which affected orientation and dexterity. A successful outcome has been reported in all the cases before us as well as our case, but it is noteworthy to mention that such cases must be performed by well-trained laparoscopic surgeons with impeccable manual dexterity who must take extreme care to avoid iatrogenic injuries.

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Laparoscopic cholecystectomy in a patient with situs inversus totalis after videolaparoscopic sleeve—Case report

Cited by 2 publications

References 10 publications

Overcoming Anatomical Challenges: Laparoscopic Cholecystectomy in Situs Inversus Totalis

Overcoming Anatomical Challenges: Laparoscopic Cholecystectomy in Situs Inversus Totalis

Laparoscopic Cholecystectomy in a Morbidly Obese Patient With Situs Inversus Totalis: A Case Report

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