title: Situs inversus totalis and abdominal aortic aneurysm: Surgical repair of an extremely uncommon association.
abstract: BACKGROUND
  Situs inversus totalis (SIT) is an uncommon congenital syndrome, which refers to a reversal mirror-image of the normal thoracoabdominal organs position. The coexistence of SIT and abdominal aortic aneurysm has been seldom previously reported.
  
  
  METHODS
  We report a case of a 69-year-old man with SIT and infrarenal abdominal aortic aneurysm (AAA) that underwent open repair with a straight graft through a minilaparatomy without evisceration.
  
  
  CONCLUSIONS
  There is no consensus on which should be the optimum approach in cases of open surgical repair of AAA due to the limited number of cases described. The fact of intestinal scrolling to the left abdomen, unlike usual, is due to the anatomical arrangement of the root of the mesentery which is directed obliquely from duodenojejunal on the left side of the vertebra L2 to the ileocecal junction and right sacroiliac joint.
  
  
  CONCLUSIONS
  A minilaparotomy without evisceration and with intestinal scrolling to left hemiabdomen, can be very useful and beneficial on those cases of congenital anatomical abnormalities that may add difficulty during the surgical procedure.
authors.affiliation: Vascular and Endovascular Surgery Department, Germans Trias i Pujol University Hospital, Crta Canyet s/n 08916, Badalona, Barcelona, Spain. Electronic address: crierahernandez@gmail.com.
authors.forename: Claudia
authors.initials: C
authors.lastname: Riera Hernández
authors.affiliation: Vascular and Endovascular Surgery Department, Germans Trias i Pujol University Hospital, Crta Canyet s/n 08916, Badalona, Barcelona, Spain. Electronic address: paulinaperezramirez@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Pérez Ramírez
authors.affiliation: Vascular and Endovascular Surgery Department, Germans Trias i Pujol University Hospital, Crta Canyet s/n 08916, Badalona, Barcelona, Spain. Electronic address: carlosestebangracia@yahoo.com.
authors.forename: C
authors.initials: C
authors.lastname: Esteban Gracia
authors.affiliation: Vascular and Endovascular Surgery Department, Sant Jaume de Calella Hospital, Carrer Sant Jaume, 209, 08370 Calella, Barcelona, Spain. Electronic address: ma_jimenez_olivera@hotmail.com.
authors.forename: M A
authors.initials: MA
authors.lastname: Jiménez Olivera
authors.affiliation: Vascular and Endovascular Surgery Department, Germans Trias i Pujol University Hospital, Crta Canyet s/n 08916, Badalona, Barcelona, Spain. Electronic address: sllagostera.germanstrias@gencat.cat.
authors.forename: S
authors.initials: S
authors.lastname: Llagostera Pujol