Colecistectomía laparoscópica en paciente con situs inversus totalis

Abstract

We present our institutional experience in a patientwith situs inversus totalis and symptomatic cholelithiasis treated by laparoscopy, highlighting the usefulness of minimally invasive surgery in patients with anatomical variants. Situs inversus totalis is a rare genetic disorder that is characterized by the transposition of the thoracoabdominal organs in a sagittal direction, providing a so-called “mirror” image. Report of a 40-year-old female patient with symptomatic cholelithiasis of 3 months evolution, in whom situs inverus totalis was identified, after imaging tests performed. The intervention proceeded without complications and the patient was discharged after 24 hours. Gallbladder lithiasis in situs inversus totalis is a rare clinical condition that can be treated safely and effectively by laparoscopy. We believe that an exhaustive preoperative study is convenient to detect possible added anatomical variants in these patients, since their knowledge can help us to design the operation.