scholarly journals Left-sided gallbladder without situs inversus : report of a case

2018 ◽  
Vol 2 (3) ◽  
pp. 158
Author(s):  
Mehmet Sait Ozsoy ◽  
Fatih Buyuker ◽  
Aman Gapbarov ◽  
Nuray Colapkulu ◽  
Cem Ilgin Erol ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Situs Inversus ◽  
Health Sciences ◽  
Cystic Artery ◽  
Anatomical Position ◽  
Gall Stones ◽  
Stomach Pain ◽  
One Year ◽  
Rare Situation

A gallbladder that is placed on the left side of the liver without situs inversus is a very rare situation. This anatomical position makes harder to define with ultrasonography (US) before operation. A 41-years-old woman admitted with complaints of indigestion, bloating and stomach pain which started one year ago. Multiple millimetric gall stones were detected at ultrasonography, and there wasn’t any information about the anatomic position of the gallbladder. A laparoscopic cholecystectomy was scheduled for the patient. It was visualized that the gallbladder was embedded in the segment III of the liver intraoperatively. In such cases, the fact that vascular and biliary anomalies may accompany should be kept in mind as this condition may hinder the clear visualization of the cystic artery and duct which may bring the risk of iatrogenic injury.International Journal of Human and Health Sciences Vol. 02 No. 03 July’18. Page : 158-160

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.

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 Incidence and Management of Post Cholecystectomy Biliary Fistula at Tertiary Care Hospital

2021 ◽  
pp. 203-208
Author(s):  
Ahtesham-Ul- Haq ◽  
Sohail Ahmed Memon ◽  
Riaz Ahmad Memon ◽  
Bilal Rasool ◽  
Shahnawz Khatti ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Tertiary Care Hospital ◽  
Open Cholecystectomy ◽  
Tertiary Care ◽  
Health Sciences ◽  
Biliary Fistula ◽  
Care Hospital ◽  
One Year ◽  
A Prospective Study ◽  
Surgery Department

Objective: To determine the incidence and management of post cholecystectomy biliary fistula at tertiary care Hospital.  Methodology: This was a prospective study which was conducted at general surgery department of Liaquat University of Medical and health Sciences, during one year from March 2017 to February 2018. All the patients those underwent laparoscopic cholecystectomy or open cholecystectomy, age more than15 years and either of gender were included. All the patients were evaluated for developed biliary fistula after cholecystectomies. All the patients of biliary fistula were managed conservatively and surgically and their management outcome was recorded. After operation most of patients were followed up to 6 months. The data was collected via study designed proforma. Data was analyzed by using SPSS version 20. Results: Out of 318 patients, 280 patients underwent laparoscopic cholecystectomies, 38 patients underwent open cholecystectomies. Mean age of the patients was 41.34+8.23 years. Females were in majority 233(73.3%) and males were 95(29.7%). Out of all post-cholecystectomy biliary fistula was seen in 10(3.14%) patients. Incidence of post-cholecystectomy biliary fistula was insignificantly associated with types of cholecystectomies (p=0.425), while it was highly prevalent in females (p=0.001). Conclusion: In the conclusion of this study the post cholecystectomy biliary fistula was observed to be 3.14% and mostly patients were manged via conservative treatment.

Free intra-peritoneal gall-stones following laparoscopic cholecystectomy

1993 ◽  
Vol 48 (4) ◽  
pp. 258-259 ◽  
Author(s):  
C.F. Walshaw ◽  
H. Deans ◽  
Z.H. Krukowski
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Stones

Laparoscopic cholecystectomy in a patient with situs inversus totalis

2020 ◽  
Vol 8 (3) ◽  
pp. 145
Author(s):  
Abeer Aljahdali ◽  
Saad Almowallad ◽  
Tariq Habib
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Situs Inversus ◽  
Situs Inversus Totalis

scholarly journals Incidence of double cystic artery: a clinical study

2020 ◽  
Vol 7 (9) ◽  
pp. 2837
Author(s):  
Tamer Akay ◽  
Metin Leblebici
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Clinical Study ◽  
Cystic Artery ◽  
Indication For Operation ◽  
Biliary Injury ◽  
Intraoperative Bleeding ◽  
Duration Of Hospital Stay ◽  
Retrospective Clinical Study ◽  
The Mean ◽  
Bladder Polyp

Background: A successful laparoscopic cholecystectomy is associated with the knowledge about anatomic structures and the congenital anomaly of the biliary tract. The aim of this study was to become familiar with vascular variations in laparoscopic cholecystectomy.Methods: This was a retrospective clinical study. The files of patients who underwent laparoscopic cholecystectomy due to benign gallbladder diseases were analyzed. The characteristics and complications of the patients with double cystic artery were recorded and examined.Results: A total of 360 patients, 76 males and 284 females were included in the study. The mean age was 51.2 (25-81). When the files of the patients were examined, it was found that double cystic arteries were detected during the operation in two male (2.63%) and nine female patients (3.16%). Gall bladder polyp was found as an indication for operation in one of 11 patients, while multiple gallbladder stones were found as an indication for operation in the other patients. The laparoscopic cholecystectomy was converted to conventional cholecystectomy in two from 11 patients (18.1%) with double cystic arteries due to bleeding. The mean duration of hospital stay in the patients with double cystic artery is 5.2 (3-11) days, and (2.7 days) longer compared to the patients without a double cystic artery.Conclusions: Cystic artery variations and other variations can coexist. Awareness of cystic artery variations can reduce the possibility of uncontrolled intraoperative bleeding, extrahepatic biliary injury, and switching to conventional cholecystectomy. 

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