VOLUME 33 - NUMBER 1-2 - 2012

Three-trocar laparoscopic cholecistectomy in patient with situs viscerum inversus totalis. Case report and review of the literature.

  • Iusco D.R., Sacco S., Ismail I., Bonomi S., Virzì S.
  • Original Article, 10-13
  • Full text PDF

  • Situs viscerum inversus totalis is a rare defect with a genetic predisposition, which can present difficulties in the management of abdominal pathology, especially in laparoscopic surgery (mirror-image anatomy). We report the case of a 52-year-old female with situs viscerum inversus totalis, known from pediatric age, with a medical history of colic pain in the epigastrium radiating to the right abdominal quadrant. Laparoscopic cholecistectomy was safely performed with a three trocar technique. To the best of our knowledge this is the first time that laparoscopic cholecistectomy by three trocars was performed in a patient with situs viscerum inversus. We also review the relevant literature concerning this issue.

  • KEY WORDS: Situs viscerum inversus totalis - Cholelithiasis - Laparoscopic cholecystectomy