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

Kamakshi Baxi; Nitin Jha; Vibhu Khurana; Dakshayani Neeli; Loveneet Dogra

doi:10.18203/2349-2902.isj20233357

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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