Laparoscopic cholecystectomy in situs inversus totalis: a case report

<p>Abstract</p> <p>Background</p> <p>Laparoscopic cholecystectomy is one of the commonest surgical procedures carried out in the world today. Occasionally patients present with undiagnosed situs inversus and acute cholecystitis. We discuss one such case and outline how...

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Main Authors: Blake Geoffrey, McKay Damian
Format: Article
Language:English
Published: BMC 2005-03-01
Series:BMC Surgery
Online Access:http://www.biomedcentral.com/1471-2482/5/5
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author Blake Geoffrey
McKay Damian
author_facet Blake Geoffrey
McKay Damian
author_sort Blake Geoffrey
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Laparoscopic cholecystectomy is one of the commonest surgical procedures carried out in the world today. Occasionally patients present with undiagnosed situs inversus and acute cholecystitis. We discuss one such case and outline how the diagnosis was made and the pitfalls encountered during surgery and how they were overcome.</p> <p>Case presentation</p> <p>A 32 year old female presented to our department with epigastric pain radiating through to the back. A diagnosis of acute cholecystitis in a patient with situs inversus totalis was made following clinical examination and radiological investigation. Laparoscopic cholecystectomy was subsequently performed and the patient made an uneventful recovery.</p> <p>Conclusion</p> <p>Situs inversus presenting with acute cholecystitis is very rare. The surgeon must appreciate that care should be taken to set up the operating theatre in the mirror image of the normal set-up for cholecystectomy, and that right handed surgeons must modify their technique to adapt to the mirror image anatomy.</p>
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spelling doaj.art-1b1fc16a89094fbfad11f9a75dda69082022-12-21T17:59:48ZengBMCBMC Surgery1471-24822005-03-0151510.1186/1471-2482-5-5Laparoscopic cholecystectomy in situs inversus totalis: a case reportBlake GeoffreyMcKay Damian<p>Abstract</p> <p>Background</p> <p>Laparoscopic cholecystectomy is one of the commonest surgical procedures carried out in the world today. Occasionally patients present with undiagnosed situs inversus and acute cholecystitis. We discuss one such case and outline how the diagnosis was made and the pitfalls encountered during surgery and how they were overcome.</p> <p>Case presentation</p> <p>A 32 year old female presented to our department with epigastric pain radiating through to the back. A diagnosis of acute cholecystitis in a patient with situs inversus totalis was made following clinical examination and radiological investigation. Laparoscopic cholecystectomy was subsequently performed and the patient made an uneventful recovery.</p> <p>Conclusion</p> <p>Situs inversus presenting with acute cholecystitis is very rare. The surgeon must appreciate that care should be taken to set up the operating theatre in the mirror image of the normal set-up for cholecystectomy, and that right handed surgeons must modify their technique to adapt to the mirror image anatomy.</p>http://www.biomedcentral.com/1471-2482/5/5
spellingShingle Blake Geoffrey
McKay Damian
Laparoscopic cholecystectomy in situs inversus totalis: a case report
BMC Surgery
title Laparoscopic cholecystectomy in situs inversus totalis: a case report
title_full Laparoscopic cholecystectomy in situs inversus totalis: a case report
title_fullStr Laparoscopic cholecystectomy in situs inversus totalis: a case report
title_full_unstemmed Laparoscopic cholecystectomy in situs inversus totalis: a case report
title_short Laparoscopic cholecystectomy in situs inversus totalis: a case report
title_sort laparoscopic cholecystectomy in situs inversus totalis a case report
url http://www.biomedcentral.com/1471-2482/5/5
work_keys_str_mv AT blakegeoffrey laparoscopiccholecystectomyinsitusinversustotalisacasereport
AT mckaydamian laparoscopiccholecystectomyinsitusinversustotalisacasereport