Laparoscopic cholecystectomy in situs inversus with partially intrahepatic gallbladder: a case report

Authors

  • Kamakshi Baxi Department of General Surgery and Minimal Access Surgery, Fortis Hospital, Noida, UP, India
  • Nitin Jha Department of General Surgery and Minimal Access Surgery, Fortis Hospital, Noida, UP, India
  • Vibhu Khurana Department of General Surgery and Minimal Access Surgery, Fortis Hospital, Noida, UP, India
  • Dakshayani Neeli Department of General Surgery and Minimal Access Surgery, Fortis Hospital, Noida, UP, India
  • Loveneet Dogra Department of General Surgery and Minimal Access Surgery, Fortis Hospital, Noida, UP, India

DOI:

https://doi.org/10.18203/2349-2902.isj20233357

Keywords:

Case report, LC, Situs inversus, Mirrored American technique, Mirrored French technique

Abstract

Situs inversus totalis (SIT) is a rare condition with mirrored visceral organs. Biliary colic has delayed diagnosis in this cohort of patients.  Laparoscopic cholecystectomy (LC) in such condition is a technically challenging procedure and requires preoperative imaging. We report a case of a 37 years old lady with pain in left upper abdomen for last 1 year. Upon evaluation, she was diagnosed with cholelithiasis with SIT. MRCP was done to delineate the anatomy. The patient underwent LC in a split-leg position with mirrored port position by a right-handed surgeon. The duration of surgery was 90 minutes and the patient was discharged uneventfully in 48 hours and was well on one-week follow-up. LC is considered a safe surgery in patients with SIT. It requires an experienced surgeon, re-training of visual-motor coordination and modification of surgical steps.

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Published

2023-10-27

Issue

Vol. 10 No. 11 (2023): November 2023

Section

Case Reports