Karishma

Laparoscopic cholecystectomy in situs inversus totalis, challenges from the surgeon’s perspective: a case report

• Authors Details :  
• Prapanca Nugraha,  
• Andrianto Andrianto,  
• Reno Rudiman

Journal title : Yemen Journal of Medicine

Publisher : Mansa STM Publishers

Online ISSN : 2583-4614

Page Number : 463-467

Journal volume : 04

Journal issue : 02

39 Views Case Report

Situs inversus totalis (SIT) is a rare birth defect marked by a complete reversal of the positions of abdominal and thoracic organs, resembling a mirrored image. This condition can raise challenges both in diagnosis and treatment procedures. Management of cholelithiasis in SIT patients presents difficulties due to the anatomical differences. We present a case involving a 47-year-old male patient who experienced intermittent left upper abdominal pain over the course of 4 months; the pain had worsened in the last 2 months. The pain was felt radiating to the waist and left back and was accompanied by nausea and vomiting. After clinical assessment and radiological investigations, such as thoracic X-ray and abdominal ultrasound, the patient was suspected of having cholelithiasis and SIT. The patient underwent an elective laparoscopic cholecystectomy without complications and experienced an uneventful recovery. Several intraoperative adjustments were implemented to address the technical challenges arising from the underlying anatomical variation.

Article DOI & Crossmark Data

DOI : https://doi.org/10.63475/yjm.v4i1.0158

Article Subject Details

• Laparoscopic surgery

Article Keywords Details

• case report
• cholecystitis
• cholelithiasis
• laparoscopic cholecystectomy
• Situs inversus totalis

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