Three port laparoscopic cholecystectomy in situs inversus totalis: A case report
Journal Title: International Archives of Integrated Medicine - Year 2015, Vol 2, Issue 3
Abstract
Situs inversus totalis (SIT) is a rare anomaly characterized by transposition of organs to the opposite side of the body in a mirror image of normal anatomy. Location of symptoms and signs arising from a diseased organ may vary. The diagnosis as well as to operate any pathology in such patient is difficult. Laparoscopic cholecystectomy in patient with situs inversus totalis is a challenge but not a contraindication. We have reported here case of an adult woman who presented with on and off pain located at the epigastrium. Clinical examination and laboratory investigations were unremarkable. During radiological evaluation, the patient was found to have situs inversus totalis and features of chronic cholecystitis with cholelithiasis. Laparoscopic cholecystectomy was safely performed with the three-port technique in a reverse fashion by right handed surgeon. In conclusion, Laparoscopic cholecystectomy in these patients is technically more demanding and needs reorientation of visual-motor skills.
Authors and Affiliations
Satendra Kumar, Arindam Roy, Seema Khanna, Sanjeev Kumar Gupta
Keywords
Related Articles
- EP ID EP531140
- DOI -
- Views 115
- Downloads 0
Chromophobe renal cell carcinoma in 76 years old female: A case report
The current World Health Organization classification of renal epithelial tumours recognises malignant lesions such as, clear cell, papillary, chromophobe and collecting duct renal cell carcinomas (RCCs), and benign entit...
Prevalence and clinical evaluation of Pressure Ulcers using Braden scale from orthopedics wards of a tertiary care teaching hospital
Background: The need for research into bed sores in orthopedic patients is evident from the increased number of beds they occupy and the considerable morbidity from pressure sores in orthopedic wards. Objective: To anal...
Morphological study of nutrient foramina of human radius and their clinical importance
Background: Radius is the lateral bone of forearm. It has anterior, interosseus and posterior surface. Anterior surface bears a nutrient canal at the upper end transmitting nutrient artery. Nutrient artery is the major s...
Clinico-demographic profile of type 2 diabetes patients with cardiac autonomic neuropathy
Background: Patients with diabetes mellitus (DM) are at an increased risk of dying from cardiovascular diseases, the reason for which is not completely understood. Aim: To study the clinico-demographic profile of type 2...
Spectrum of rheumatic heart disease with complications and outcome after surgery
Background: RHD is a chronic heart condition caused by rheumatic fever. RHD is a disease affecting predominantly those living in poverty with inadequate access to health care and unchecked exposure to group A streptococc...