Laparoscopic Cholecystectomy in Situs Inversus Totalis: A Case Report
ABSTRACT Situs inversus totalis is a rare condition characterized by the mirror image of the normal abdominal and thoracic viscera. Since the gallbladder is located in the left upper quadrant in this subset of patients, the diagnosis of symptomatic cholelithiasis poses a difficulty. Similarly, lapar...
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| Format: | Article |
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Wiley
2025-02-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70222 |
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| author | Prapti Lakhey Milan Shrestha Rishav Sharma Paleswan Joshi Lakhey |
| author_facet | Prapti Lakhey Milan Shrestha Rishav Sharma Paleswan Joshi Lakhey |
| author_sort | Prapti Lakhey |
| collection | DOAJ |
| description | ABSTRACT Situs inversus totalis is a rare condition characterized by the mirror image of the normal abdominal and thoracic viscera. Since the gallbladder is located in the left upper quadrant in this subset of patients, the diagnosis of symptomatic cholelithiasis poses a difficulty. Similarly, laparoscopic cholecystectomy in these patients is more demanding and presents technical challenges, especially for right‐handed surgeons. Herein, we report a case of a 30‐year‐old female who was a known case of situs inversus totalis and was diagnosed with symptomatic cholelithiasis and subsequently underwent laparoscopic cholecystectomy with an uneventful post‐operative period. The challenge while performing laparoscopic cholecystectomy in patients with situs inversus totalis calls for appropriate perioperative preparation and necessary modifications in the operative setup for the safe and successful operation of the patient, which is discussed in this report. |
| format | Article |
| id | doaj-art-ca7d87ae5fa347e99022a825bb4c0aa5 |
| institution | DOAJ |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-ca7d87ae5fa347e99022a825bb4c0aa52025-08-20T03:11:06ZengWileyClinical Case Reports2050-09042025-02-01132n/an/a10.1002/ccr3.70222Laparoscopic Cholecystectomy in Situs Inversus Totalis: A Case ReportPrapti Lakhey0Milan Shrestha1Rishav Sharma2Paleswan Joshi Lakhey3Third Year Medical Student Nepal Medical College Teaching Hospital Kathmandu NepalFCPS Resident B&B Hospital Lalitpur NepalSurgical Registrar B&B Hospital Lalitpur NepalDepartment of General Surgery B&B Hospital Lalitpur NepalABSTRACT Situs inversus totalis is a rare condition characterized by the mirror image of the normal abdominal and thoracic viscera. Since the gallbladder is located in the left upper quadrant in this subset of patients, the diagnosis of symptomatic cholelithiasis poses a difficulty. Similarly, laparoscopic cholecystectomy in these patients is more demanding and presents technical challenges, especially for right‐handed surgeons. Herein, we report a case of a 30‐year‐old female who was a known case of situs inversus totalis and was diagnosed with symptomatic cholelithiasis and subsequently underwent laparoscopic cholecystectomy with an uneventful post‐operative period. The challenge while performing laparoscopic cholecystectomy in patients with situs inversus totalis calls for appropriate perioperative preparation and necessary modifications in the operative setup for the safe and successful operation of the patient, which is discussed in this report.https://doi.org/10.1002/ccr3.70222ergonomicslaparoscopic cholecystectomysitus inversus totalis |
| spellingShingle | Prapti Lakhey Milan Shrestha Rishav Sharma Paleswan Joshi Lakhey Laparoscopic Cholecystectomy in Situs Inversus Totalis: A Case Report Clinical Case Reports ergonomics laparoscopic cholecystectomy situs inversus totalis |
| title | Laparoscopic Cholecystectomy in Situs Inversus Totalis: A Case Report |
| title_full | Laparoscopic Cholecystectomy in Situs Inversus Totalis: A Case Report |
| title_fullStr | Laparoscopic Cholecystectomy in Situs Inversus Totalis: A Case Report |
| title_full_unstemmed | Laparoscopic Cholecystectomy in Situs Inversus Totalis: A Case Report |
| title_short | Laparoscopic Cholecystectomy in Situs Inversus Totalis: A Case Report |
| title_sort | laparoscopic cholecystectomy in situs inversus totalis a case report |
| topic | ergonomics laparoscopic cholecystectomy situs inversus totalis |
| url | https://doi.org/10.1002/ccr3.70222 |
| work_keys_str_mv | AT praptilakhey laparoscopiccholecystectomyinsitusinversustotalisacasereport AT milanshrestha laparoscopiccholecystectomyinsitusinversustotalisacasereport AT rishavsharma laparoscopiccholecystectomyinsitusinversustotalisacasereport AT paleswanjoshilakhey laparoscopiccholecystectomyinsitusinversustotalisacasereport |