Calculosa cholecystitis in situs inversus totalis: laparoscopic approach – case report
DOI:
https://doi.org/10.5902/2236583438446Keywords:
Situs inversus. Laparoscopy, CholecystitisAbstract
Introduction: Situs inversus is a rare congenital anomaly characterized by transposition of the abdominal organs, viscera and vasculature, in relation to the sagittal direction, offering an image called “mirror image”. It is classified as total when associated with dextrocardia, while the partial situs inversus affects only one or more organs. Objective: To analyze a case of rare congenital anomaly of situs inversus totalis submitted to cholecystectomy with cholangiography by laparoscopic approach for treatment of cholecystitis. Case Report: Female patient, 42 years old, had episodes of abdominal pain in colic, located in the epigastrium and left hypochondrium, with calculus cholecystitis diagnosed in abdominal situs inversus. With confirmation of the diagnosis of situs inversus totalis by simple chest x-ray, cholecystectomy was performed with videolaparoscopic cholangiography. Conclusion: The experience of the physician in the instrumental and operative management of the mirror image of the situs inversus, provides a safe laparoscopic cholecystectomy.Downloads
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