title: Three-trocar laparoscopic cholecystectomy in patient with situs viscerum inversus totalis: case report and review of the literature.
abstract: Situs viscerum inversus totalis is a rare defect with a genetic predisposition, which can present difficulties in the management of abdominal pathology, especially in laparoscopic surgery (mirror-image anatomy). We report the case of a 52-year-old female with situs viscerum inversus totalis, known from pediatric age, with a medical history of colic pain in the epigastrium radiating to the right abdominal quadrant. Laparoscopic cholecistectomy was safely performed with a three trocar technique. To the best of our knowledge this is the first time that laparoscopic cholecistectomy by three trocars was performed in a patient with situs viscerum inversus. We also review the relevant literature concerning this issue.
authors.affiliation: Azienda Unità Sanitaria Locale, Bologna, Italy.
authors.forename: D R
authors.initials: DR
authors.lastname: Iusco
authors.forename: S
authors.initials: S
authors.lastname: Sacco
authors.forename: I
authors.initials: I
authors.lastname: Ismail
authors.forename: S
authors.initials: S
authors.lastname: Bonomi
authors.forename: S
authors.initials: S
authors.lastname: Virzì
mesh_terms: D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation* / Q000379:methods; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012857:Situs Inversus / Q000150:complications*; D016896:Treatment Outcome