Laparoscopic cholecystectomy in situs inversus totalis.
Situs inversus totalis is a rare defect with genetic predisposition that may present difficulties in the diagnosis and management of abdominal pathology due to mirror-image anatomy. Occasionally, these patients may present with acute cholecystitis. Laparoscopic cholecystectomy is the standard treatment for symptomatic cholelithiasis; however, the technique has to be varied for the treatment of situs inversus totalis. To the best of our knowledge, we report the first case in Saudi Arabia of a successful laparoscopic cholecystectomy in a patient with situs inversus totalis. The technique is presented and the pitfalls are discussed with a review of the relevant literature.
Hamdi
Jamal
J
Department of Surgery, Medical College, Umm Al-Qura University, Makkah, Saudi Arabia. jthamdi@hotmail.com
Abu Hamdan
Omar
O