title: Laparoscopic cholecystectomy for a symptomatic cholelithiasis in a patient presenting situs viscerum inversus totalis. A case report.
abstract: BACKGROUND
  Situs Viscerum Inversus totalis (SIT) is a rare anomaly with genetic predisposition, in which organs are translated, completely or partially, on the opposite side of the body. Generally there are no organic dysfunctions. Situs Inversus can cause difficulties in the diagnostic and therapeutic management of abdominal diseases because of the mirror-like anatomy. On a clinical point of view the symptoms of cholelithiasis may be confused by the opposite position of the gall bladder
  
  
  METHODS
  We report the case of a 48 year old female latin-american with symptomatic cholelithiasis and Situs Viscerum Inversus Totalis, treated with Laparoscopic Cholecystectomy.
  
  
  CONCLUSIONS
  Videolaparoscopy represents the gold standard treatment in managing cholelithiasis in SIT patients. Surgical treatment can be facilitated in case of well-experienced operators, as it is well recognised a major difficulty for surgeons in managing the anatomical condition of SIT.
authors.affiliation: S.C Chirurgia Generale e d'Urgenza, Ospedale "S. Maria della Misericordia" Perugia, Italy.
authors.forename: Luca Pio
authors.initials: LP
authors.lastname: Evoli
authors.forename: Luca
authors.initials: L
authors.lastname: Miglionico
authors.forename: Luigina
authors.initials: L
authors.lastname: Graziosi
authors.forename: Emanuel
authors.initials: E
authors.lastname: Cavazzoni
authors.forename: Walter
authors.initials: W
authors.lastname: Bugiantella
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Dei Santi
authors.forename: Annibale
authors.initials: A
authors.lastname: Donini
mesh_terms: D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012857:Situs Inversus / Q000150:complications*; D016896:Treatment Outcome