Chronic Calculous Cholecystitis in Situs inversus totalis

Abstract

Situs inversus totalis is a rare congenital abnormality characterized by a mirror-image transposition of both abdominal and thoracic organs. This anatomical disposition of organs not only influences the localization of symptoms and signs arising from a diseased organ but also imposes special demands on the diagnostic and surgical skills of the surgeon. We present the case of a 28-year-old woman diagnosed in our hospital with chronic calculous cholecystitis in the presence of Situs inversus totalis. After a thorough review of the literature on different positions of the operative team and port sites, the most appropriate and efficient method was chosen. Elective laparoscopic cholecystectomy was performed safely and the patient was discharged on postoperative day two with no significant postoperative complications.