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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.

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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

References

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