Laparoscopic cholecystectomy for chronic stone cholecystitis in a patient with situs inversus totalis managed at the Delfina Torres De Concha Hospital in Esmeraldas; case report

Authors

DOI:

https://doi.org/10.56294/saludcyt2024.613

Keywords:

situs inversus, cholecystitis, cholelithiasis, laparoscopic cholecystectomy

Abstract

Situs Inversus Totalis (SIT) is when all the organs of the body are inverted towards the opposite side. Its incidence varies between 1 in 5.000 and 1 in 20.000 people, and it is due to an autosomal recessive gene. This disorder is characterized by the mirror arrangement of the thoracic and abdominal viscera, and can lead to cardiac, intestinal and vascular complications. Although laparoscopic cholecystectomy is the standard treatment for cholelithiasis, it can present technical challenges in cases of situs inversus, especially for right-handed surgeons, and it is preferable to be performed by a left-handed surgeon, although this is not strictly essential. 
Although there is no evidence of a higher incidence of cholelithiasis in patients with situs inversus totalis, more variations and abnormalities are expected in these patients. This report presents the case of a female patient with SIT who underwent laparoscopic cholecystectomy, demonstrating that the procedure can be performed safely with minimal adaptations, such as in this case the variant of using an 11 mm trocar in the third port for the handling of the clipper for skilled surgeons in any health home that has the equipment and trained personnel, given the rarity of this condition, these cases provide valuable information and challenge to the conventional understanding of organ positioning

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Published

2024-07-27

How to Cite

1.
Guerrero Palma JA, Mera Aguilar DA, Chinchín Correa WE, Yugsi Mera EA, Gary Alexi Machuca Almeida GA, Jiménez Mejía GN, et al. Laparoscopic cholecystectomy for chronic stone cholecystitis in a patient with situs inversus totalis managed at the Delfina Torres De Concha Hospital in Esmeraldas; case report. Salud, Ciencia y Tecnología [Internet]. 2024 Jul. 27 [cited 2024 Oct. 14];4:.613. Available from: https://sct.ageditor.ar/index.php/sct/article/view/613