Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2006 Jul-Sep;10(3):386-91.

Laparoscopic cholecystectomy in a patient with situs inversus totalis: feasibility and technical difficulties

Norman Oneil Machado  1 , Pradeep Chopra
Affiliations
Case Reports

Laparoscopic cholecystectomy in a patient with situs inversus totalis: feasibility and technical difficulties

Norman Oneil Machado et al. JSLS. 2006 Jul-Sep.

Abstract

Situs inversus is a rare anomaly characterized by transposition of organs to the opposite side of the body. In patients with this anomaly, cholelithiasis is observed with a frequency similar to that in the normal population. Herein, we report on a patient with situs inversus totalis who underwent laparoscopic cholecystectomy for mucocele of the gallbladder. Diagnostic pitfalls and technical difficulties of the operation with technical options are discussed in the context of the available literature. Difficulty is encountered particularly in skeletonizing the structures in Calot's triangle, which consumes extra time and is more demanding than in patients with a normally located gallbladder. A summary of an additional 32 similar cases reported in the medical literature is also presented.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Chest x-ray revealing dextrocardia.
Figure 2.
Figure 2.
Magnetic resonance image (coronal section) revealing a left sided liver and gallbladder that is distended and has multiple calculi in it.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Crosher RF, Harnarayan P, Bremner DN. Laparoscopic cholecystectomy in situs inversus totalis. J R Coll Surg Edinb. 1996; 41 (3): 183–184 - PubMed
    1. Lipschutz JH, Canal DF, Hawes RH, Ruffolo TA, Besold MA, Lehman GA. Laparoscopic cholecystectomy and ERCP with sphincterotomy in an elderly patient with situs inversus. Am J Gastroeneterol. 1992; 87 (2): 218–200 - PubMed
    1. Takei HT, Maxwell JG, Clancy TV, Tinsley EA. Laparoscopic cholecystectomy in situs inversus totalis. J Laparoendosc Surg. 1992; 2 (4): 171–176 - PubMed
    1. Malatani TS. Laparoscopic cholecystectomy in situs inversus totalis: A case report and review of literature. Ann Saudi Med. 1996; 16: 458–459 - PubMed
    1. Campos L, Sipes E. Laparoscopic cholecystectomy in a 39 year old female with situs inversus. J Laparoendosc Surg. 1991; 1 (2): 123–125 - PubMed

Publication types

LinkOut - more resources