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Case Reports
. 2025 Mar 31:60:103032.
doi: 10.1016/j.eucr.2025.103032. eCollection 2025 May.

Radical laparoscopic nephrectomy for a huge left renal mass in situs inversus totalis: A case report and video presentation

Abdullah Naser A Alotibi  1 , Abdulrahman Aldayhani  2 , Ebtesam Almajed  3 , Abdulrahman F Alruwaily  4 , Ahmed Alzahrani  4
Affiliations
Case Reports

Radical laparoscopic nephrectomy for a huge left renal mass in situs inversus totalis: A case report and video presentation

Abdullah Naser A Alotibi et al. Urol Case Rep. .

Abstract

This case report describes the successful laparoscopic radical nephrectomy in a 69-year-old woman with situs inversus totalis and a large, hypervascular left renal mass. Despite the presence of metastatic disease, the patient underwent neoadjuvant immunotherapy followed by surgery. The successful laparoscopic approach highlights the feasibility of minimally invasive surgery even in patients with complex anatomical variations. This report provides valuable insights into the surgical management of renal tumors in individuals with situs inversus totalis.

Keywords: Case report; Clear cell renal cell carcinoma; Laparoscopic radical nephrectomy; Situs inversus totalis.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
(A–B). .Abdominopelvic CT scan, both axial and coronal cuts, demonstrates a left renal mass measuring 10.5 x 10.2 × 12.6 cm. Mirror imaging of intrabdominal organs which is a finding consistent with SIT.
Fig. 2
Fig. 2
Gross specimen of the left kidney following laparoscopic left radical nephrectomy.
See this image and copyright information in PMC

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