Saudi Journal of Gastroenterology
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Year : 2008  |  Volume : 14  |  Issue : 1  |  Page : 31-32

Laparoscopic cholecystectomy in situs inversus totalis

1 Department of Surgery, Medical College, Umm Al-Qura University, Makkah, Saudi Arabia
2 Hera General Hospital, Makkah, Saudi Arabia

Correspondence Address:
Jamal Hamdi
Department of Surgery, Medical College, Umm Al-Qura University, P.O. Box 7607, Makkah
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.37803

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Situs inversus totalis is a rare defect with genetic predisposition that may present difficulties in the diagnosis and management of abdominal pathology due to mirror-image anatomy. Occasionally, these patients may present with acute cholecystitis. Laparoscopic cholecystectomy is the standard treatment for symptomatic cholelithiasis; however, the technique has to be varied for the treatment of situs inversus totalis. To the best of our knowledge, we report the first case in Saudi Arabia of a successful laparoscopic cholecystectomy in a patient with situs inversus totalis. The technique is presented and the pitfalls are discussed with a review of the relevant literature.

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