scholarly journals Laparoscopic Cholecystectomy for Severe Acute Cholecystitis in a Patient with Situs Inversus Totalis and Posterior Cystic Artery

2008 ◽  
Vol 2008 ◽  
pp. 1-3 ◽  
Author(s):  
Theodoros E. Pavlidis ◽  
Kyriakos Psarras ◽  
Apostolos Triantafyllou ◽  
Georgios N. Marakis ◽  
Athanasios K. Sakantamis
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Situs Inversus ◽  
Anatomical Variations ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Cystic Artery ◽  
Quadrant Pain ◽  
Abdominal Organs ◽  
Thoracic And Abdominal

Situs inversus totalis is an inherited condition characterized by a mirror-image transposition of thoracic and abdominal organs. It often coexists with other anatomical variations. Transposition of the organs imposes special demands on the diagnostic and surgical skills of the surgeon. We report a case of a 34-year-old female patient presented with left upper quadrant pain, signs of acute abdomen, and unknown situs inversus totalis. Severe acute cholecystitis was diagnosed, and an uneventful laparoscopic cholecystectomy was performed. A posterior cystic artery was identified and ligated. Laparoscopic cholecystectomy is feasible in patients with severe acute calculus cholecystitis and situs inversus totalis; however, the surgeon should be alert of possible anatomic variations.

Situs Inversus Totalis in a Dog With a Chronic Diaphragmatic Hernia

2009 ◽  
Vol 45 (5) ◽  
pp. 245-248 ◽  
Author(s):  
Tige H. Witsberger ◽  
David I. Dismukes ◽  
Efrat Y. Kelmer
Keyword(s):  
Case Report ◽  
Diaphragmatic Hernia ◽  
Situs Inversus ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Doberman Pinscher ◽  
Clinically Normal ◽  
Normal Orientation ◽  
Congenital Condition ◽  
Thoracic And Abdominal

Situs inversus totalis is a rare, congenital condition that is characterized by the development of the thoracic and abdominal viscera in a mirror image to their normal orientation. This case report describes the condition in a 4-year-old, spayed female Doberman pinscher that was evaluated for dyspnea following sedation. Radiography confirmed a diaphragmatic hernia. Situs inversus was discovered during surgical correction. The diaphragmatic rent was repaired, and the dog was clinically normal at recheck 13 months after surgery.

Laparoscopic Cholecystectomy for Acute Cholecystitis in Situs Inversus Totalis: An Extraordinary Approach

2018 ◽  
Vol 17 (2) ◽  
Author(s):  
Mehmet Tolga Kafadar ◽  
◽  
Metin Yalcin ◽  
Yildiray Daduk ◽  
Murat Soyalp ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Situs Inversus ◽  
Situs Inversus Totalis

Case Report of Situs Inversus Totalis and Laparoscopic Cholecystectomy

2016 ◽  
Vol 101 (7-8) ◽  
pp. 347-351 ◽  
Author(s):  
Thomas K. Duncan ◽  
Kenneth Waxman
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Situs Inversus ◽  
Epigastric Pain ◽  
Signs And Symptoms ◽  
Technical Difficulty ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
The Body ◽  
Critical View Of Safety ◽  
The Right

Laparoscopic cholecystectomy (LC) in patients with situs inversus totalis (SIT) characterized by transposition of organs to the opposite side of the body can be technically challenging. A 43-year-old Hispanic woman presented with epigastric pain radiating to the chest and back, intermittently over 3 months, but worse on day of admission. During the cardiac workup, she was noted to have dextrocardia. The patient had a left-sided Murphy's sign, propagating a workup that confirmed SIT, including an ultrasound showing cholelithiasis and normal ducts. The patient underwent an LC and was found to have choledocholithiasis. An endoscopic retrograde cholangiopancreatography cleared the common bile duct of a choledocholith. LC is the gold standard for cholecystitis. It is the second most common laparoscopic procedure conducted worldwide. When SIT is encountered, feasibility and technical difficulty in diagnosis and treatment of such cases pose challenges due to contralateral transposition of the visceral organs. Difficulty is encountered when exposing the triangle of Calot/critical view of safety and especially when conducting a cholangiogram. As such, added time is usually required to conduct the procedure. Conducting an LC in a patient with SIT is feasible when performed by an experienced laparoscopic surgeon. The diagnosis and initial presenting signs and symptoms are different from the patient with a normal anatomy. The surgical skills of the surgeon are challenged, especially in the right hand–dominant individual. The mindset of the surgeon requires changing the critical thinking when conducting a mirror image dissection.

scholarly journals LAPAROSCOPIC CHOLECYSTECTOMY IN SITUS INVERSUS TOTALIS: CASE REPORTS WITH REVIEW OF LITERATURE

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Bhupander Kumar Chawla ◽  
Aditya Chawla
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Situs Inversus ◽  
Case Reports ◽  
Situs Inversus Totalis ◽  
Cystic Artery ◽  
The Body ◽  
Review Of Literature ◽  
Additional Time ◽  
Rare Congenital Anomaly ◽  
Calot’S Triangle

The first-ever known case of situs inversus in humans was reported by Fabricius in 1600[i]. The possible incidence in the region is approximated between 1:5000 and 1:200001. It can either be partial, in which the transposition gets confined to abdominal/thoracic viscera, or it may be complete, which includes both the cavities[ii]. Characterized by transposition of organs to the opposite side of the body, Situs inversus totalis is a rare congenital anomaly. Due to atypical clinical picture and due to the contralateral disposition of the visceral organs in such cases of cholelithiasis, the diagnosis, as well as the treatment, becomes a tough task for the surgeon. In such patients laparoscopic cholecystectomy is undoubtedly more demanding. Even though it is more feasible but only trained and experiences laparoscopic surgeons must perform laparoscopic cholecystectomy. The skeletonizing of the cystic duct and cystic artery in Calot's triangle is a difficult task where additional time than the normal is required for locating the gall bladder. Keywords: Cholelithiasis, laparoscopic cholecystectomy, situs inversus totalis

scholarly journals Laparoscopic Cholecystectomy in Kartagener Syndrome

2017 ◽  
Vol 51 (4) ◽  
pp. 192-194
Author(s):  
Rahul Gupta ◽  
Harjeet Singh ◽  
Ganga R Verma
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Magnetic Resonance ◽  
Situs Inversus ◽  
Autosomal Recessive ◽  
Epigastric Pain ◽  
Autosomal Recessive Disorder ◽  
Situs Inversus Totalis ◽  
Kartagener Syndrome ◽  
Abdominal Organs

ABSTRACT Kartagener syndrome is a rare autosomal recessive disorder in which there is situs inversus involving abdominal or thoracic viscera or both. Anatomy of the abdominal organs in such a patient is distorted making laparoscopic surgery very difficult. A 45-year-old lady, a known case of Kartagener syndrome, presented with epigastric pain. Ultrasound of abdomen revealed situs inversus with mild hepatomegaly and multiple gallbladder calculi. Magnetic resonance pancreatocholangiography (MRCP) confirmed situs inversus totalis with cholelithiasis and mild central intrahepatic biliary dilatation. Patient was treated successfully with laparoscopic cholecystectomy. How to cite this article Gupta R, Singh H, Verma GR. Laparoscopic Cholecystectomy in Kartagener Syndrome. J Postgrad Med Edu Res 2017;51(4):192-194.

scholarly journals Living donor hand-assisted laparoscopic nephrectomy in a healthy individual with situs inversus totalis: no need to turn down the donor

2020 ◽  
Vol 13 (1) ◽  
pp. e233523
Author(s):  
Stan Benjamens ◽  
Tamar Alice Johanne van den Berg ◽  
Johan Frédéric Michel Lange ◽  
Robert Alexander Pol
Keyword(s):  
Situs Inversus ◽  
Living Donor ◽  
Sagittal Plane ◽  
High Volume ◽  
Situs Inversus Totalis ◽  
Laparoscopic Nephrectomy ◽  
Close Relative ◽  
Living Kidney Donors ◽  
Abdominal Organs ◽  
Thoracic And Abdominal

A 70-year-old healthy male individual offered to undergo a living donor hand-assisted laparoscopic nephrectomy to enable kidney transplantation for a close relative. As required for all living transplant donor candidates, extensive screening was performed to exclude potential contraindications for donation. Tests revealed a situs inversus totalis, meaning a complete transposition of the thoracic and abdominal organs in the sagittal plane. As other contraindications for living kidney donation were absent, the feasibility of this procedure was determined multidisciplinary. A successful donation procedure was performed without surgical complications for the donor and good short-term transplant outcomes. In line with current developments that have resulted in more liberal criteria for potential living kidney donors, major anatomical deviations should not automatically be a contraindication. With multidisciplinary efforts and thorough surgical preparation at a high-volume transplant centre, this procedure is feasible and safe.

scholarly journals Minimally invasive esophagectomy with intrathoracic anastomosis in a situs inversus totalis patient

2020 ◽  
Vol 2020 (11) ◽  
Author(s):  
Yunchong Meng ◽  
Han Xiao ◽  
Zheng Zhang ◽  
Kuo Li ◽  
Quanfu Huang ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Situs Inversus ◽  
Minimally Invasive Esophagectomy ◽  
Rare Condition ◽  
Situs Inversus Totalis ◽  
Intrathoracic Anastomosis ◽  
Invasive Esophagectomy ◽  
Abdominal Organs ◽  
Congenital Condition ◽  
Thoracic And Abdominal

Abstract Situs inversus totalis (SIT) is a rare congenital condition, which is characterized by abnormal placement of the thoracic and abdominal organs. The incidence of this condition is estimated to be from 1/8000 to 1/25,000. There have been minimal reports on SIT patients with esophageal cancer. In this report, we discuss a patient with SIT complicated by middle and lower esophageal cancer who underwent laparoscopic and thoracoscopic esophagectomy with intrathoracic anastomosis, and provide useful information with regards to treatment of this rare condition.

scholarly journals Laparoscopic cholecystectomy in situs inversus totalis: A case report

2021 ◽  
Vol 38 (2) ◽  
pp. 183-188
Author(s):  
Radomir Gelevski ◽  
Gjorgji Jota ◽  
Lazar Todorović ◽  
Gjorgji Trajkovski ◽  
Vladimir Joksimović ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Situs Inversus ◽  
Epigastric Pain ◽  
Genetic Defect ◽  
Operating Time ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Digestive Tube ◽  
Left Hand ◽  
Standard Position

Situs inversus totalis represents a rare autosomal recessive morphological anomaly of the internal viscera, equally affecting both genders. The genetic defect occurs in the 2nd week of embryonic life, when a 270-degree clockwise rotation of the primitive digestive tube occurs. The incidence of calculosis of gallbladder in patients with situs inversus is the same as in the general population. A 61-year-old female patient with a history of four episodes of colicky, left hypochondrium and epigastric pain, without fever and jaundice, was admitted for elective laparoscopic cholecystectomy. CT of abdomen confirmed situs inversus totalis that was previously known to the patient. The patient was positioned in supine position and a mirror image configuration of the operating room was obtained, with surgeon and scrub nurse on the right side and assistant on the left side of the patient. Four trocars were introduced mirroring the standard position of the 5 mm trocars. During the dissection, second assistant was introduced for the laparoscope, due to the surgeon's limited motor skills in his left hand for delicate dissection, rendering him inapt to perform precise and safe dissection. The total operating time amounted to 110 minutes, which is three times longer than the standard operating time at our institution. The most critical point of the operation in constellation of situs inversus totalis is applying the clips, which requires precision and strength in the same moment. In the available literature, 40 open cholecystectomies before introduction of laparoscopy and 92 laparoscopic cholecystectomies were reported. To our knowledge, this is the first and the only reported laparoscopic cholecystectomy for situs inversus in North Macedonia.

scholarly journals Situs Inversus Totalis: A Rare Congenital Anomaly and the Presence of COPD Giving a Concept of Dextroposition with Limb Lead Reversal in ECG

2017 ◽  
Vol 31 (2) ◽  
pp. 100-103
Author(s):  
Khandker Md. Nurus Sabah ◽  
Abdul Wadud Chowdhury ◽  
Mohammad Shahidul Islam ◽  
Mohammad Gaffar Amin ◽  
Md Azizul Hassan Khandakar ◽  
...  
Keyword(s):  
Situs Inversus ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Medical Attention ◽  
Chronic Obstructive ◽  
Medical Illness ◽  
Normal Position ◽  
Obstructive Pulmonary Disease ◽  
Points Of View ◽  
Thoracic And Abdominal

Situs inversus totalis is the mirror-image of normal position of the thoracic and abdominal viscera. It may be detected incidentally when the patient seek medical attention for other medical illness. From medico-legal points of view, this rare disorder is important in many ways for a junior physician to prevent a big mishap, especially surgical. Here, we report a case, who was 55- year-old, seeking medical attention for infective exacerbation of chronic obstructive pulmonary disease incidentally diagnosed as a case of situs inversus totalis.Bangladesh Heart Journal 2016; 31(2) : 100-103

scholarly journals Laparoscopic cholecystectomy in situs inversus totalis: is it safe?

2010 ◽  
Vol 92 (5) ◽  
pp. e30-e32 ◽  
Author(s):  
TC Hall ◽  
J Barandiaran ◽  
EP Perry
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Surgical Technique ◽  
Genetic Predisposition ◽  
Situs Inversus ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Therapeutic Management ◽  
Review Of The Literature ◽  
Symptomatic Cholelithiasis

Situs inversus totalis (SIT) is a rare defect of genetic predisposition. It may cause difficulties in the diagnostic and therapeutic management of abdominal pathology due to the mirror-image anatomy. We report the management of a case of symptomatic cholelithiasis with emphasis on its surgical technique combined with a review of the literature.

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