title: Single-port cholecystectomy in a patient with situs inversus totalis presenting with cholelithiasis: a case report.
abstract: BACKGROUND
  Situs inversus totalis (mirror image organs) is a rare condition and may affect the intra-abdominal viscera as well as the intrathoracic organs. Cholelithiasis is not more common in these conditions, but the diagnosis may be more difficult.
  
  
  METHODS
  We present the case of a 59-year-old African woman with gallstones and situs inversus totalis. A single-port cholecystectomy was performed using a single trocar access device (SITRACC).
  
  
  CONCLUSIONS
  The procedure was uneventful, showing that this approach may be an option for this kind of surgery even in patients with situs inversus totalis.
authors.affiliation: Hospital Municipal Lourenço Jorge, Av, Ayrton Senna 2000, Barra da Tijuca, Rio de Janeiro, Brasil. mvdantas@hotmail.com.
authors.forename: Marcus Vinicius Dantas
authors.initials: MV
authors.lastname: de Campos Martins
authors.forename: José Luis
authors.initials: JL
authors.lastname: Pantaleão Falcão
authors.forename: James
authors.initials: J
authors.lastname: Skinovsky
authors.forename: Guilherme Moraes Silva Simões
authors.initials: GM
authors.lastname: de Faria