EJMCR |

Case Report

Volume: 8 | Issue: 7 | Published: Aug 21, 2024 | Pages: 150 - 153 | DOI: 10.24911/ejmcr.173-1718395147

Laparoscopic cholecystectomy in Situs inversus totalis: a case report

Authors: Meshaal EOSS Alenezi , Mohammad AlJasmi , Mohammed AlRuwaished , Atef Ahmed

Article Info

Authors

Meshaal EOSS Alenezi

Assistant Registrar, General Surgery Department, Al Jahra Hospital, AlJahra, Kuwait

Mohammad AlJasmi

Consultant, Head of General Surgery Department, Al Jahra Hospital, AlJahra, Kuwait

Mohammed AlRuwaished

Senior Registrar, General Surgery Department, Al Jahra Hospital, AlJahra, Kuwait

Atef Ahmed

Registrar, General Surgery Department Al Jahra Hospital, AlJahra, Kuwait.

Publication History

Received: July 30, 2024

Accepted:

Published: August 21, 2024

Abstract

Background: Situs inversus totalis (SIT) is a rare congenital condition characterized by the mirror-image reversal of the thoracic and abdominal organs. SIT presents significant challenges during surgical procedures that require anatomical familiarity and dexterity, such as laparoscopic cholecystectomy. Case Presentation: A 73-year-old woman with SIT presented with a 2-day history of left-sided hypochondrial colicky abdominal pain aggravated by food intake and associated with nausea. Physical examination revealed a positive Murphy's sign in the left hypochondrium. Laboratory tests showed leukocytosis and elevated liver enzymes. Imaging (See Figures 1-4) confirmed acute cholecystitis with the gallbladder in the left upper quadrant. The patient was scheduled for laparoscopic cholecystectomy. Preoperative planning involved detailed imaging and coordination with the anesthesiology team. The surgical technique was adapted for SIT, including specific patient positioning and a mirror-image approach. The gallbladder was successfully removed, with careful dissection of the cystic duct and artery. Postoperative management included non-steroidal anti-inflammatory drugs, opioids, and monitoring. The patient's recovery was uneventful, and she was discharged on the third postoperative day with follow-up instructions. The care plan included pain management, regular monitoring, early mobilization, diet progression, and scheduled outpatient visits. Conclusion: Laparoscopic cholecystectomy in patients with SIT requires careful preoperative planning, skilled surgical techniques, and effective team communication. Despite these challenges, successful outcomes are possible with meticulous attention to detail and adaptation to the reversed anatomy.

Keywords: Situs inversus totalis, laparoscopic cholecystectomy, reversed anatomy, acute cholecystitis, surgical technique adaptation, green

Pubmed Style

Meshaal EOSS Alenezi, Mohammad AlJasmi, Mohammed AlRuwaished, Atef Ahmed. Laparoscopic cholecystectomy in Situs inversus totalis: a case report. EJMCR. 2024; 21 (August 2024): 150-153. doi:10.24911/ejmcr.173-1718395147

Web Style

Meshaal EOSS Alenezi, Mohammad AlJasmi, Mohammed AlRuwaished, Atef Ahmed. Laparoscopic cholecystectomy in Situs inversus totalis: a case report. https://ejmcr.com/articles/1213 [Access: December 25, 2024]. doi:10.24911/ejmcr.173-1718395147

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Meshaal EOSS Alenezi, Mohammad AlJasmi, Mohammed AlRuwaished, Atef Ahmed. Laparoscopic cholecystectomy in Situs inversus totalis: a case report. EJMCR. (2024), [cited December 25, 2024]; 21 (August 2024): 150-153. doi:10.24911/ejmcr.173-1718395147

Harvard Style

Meshaal EOSS Alenezi, Mohammad AlJasmi, Mohammed AlRuwaished, Atef Ahmed (2024) Laparoscopic cholecystectomy in Situs inversus totalis: a case report. EJMCR, 21 (August 2024): 150-153. doi:10.24911/ejmcr.173-1718395147

Chicago Style

Meshaal EOSS Alenezi, Mohammad AlJasmi, Mohammed AlRuwaished, Atef Ahmed. "Laparoscopic cholecystectomy in Situs inversus totalis: a case report." 21 (2024), 150-153. doi:10.24911/ejmcr.173-1718395147

MLA (The Modern Language Association) Style

Meshaal EOSS Alenezi, Mohammad AlJasmi, Mohammed AlRuwaished, Atef Ahmed. "Laparoscopic cholecystectomy in Situs inversus totalis: a case report." 21.August 2024 (2024), 150-153. Print. doi:10.24911/ejmcr.173-1718395147

APA (American Psychological Association) Style

Meshaal EOSS Alenezi, Mohammad AlJasmi, Mohammed AlRuwaished, Atef Ahmed (2024) Laparoscopic cholecystectomy in Situs inversus totalis: a case report. , 21 (August 2024), 150-153. doi:10.24911/ejmcr.173-1718395147