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      Laparoscopic cholecystectomy and appendicectomy in situs inversus totalis: A case report and review of literature

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          Abstract

          Situs nversus totalis is a rare condition which presents difficulty in clinical diagnosis as well as laparoscopic surgery for cholelithiasis. The mirror image anatomy makes the laparoscopic intervention difficult even for an experienced surgeon. Presenting here is a case report and review of literature.

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          Laparoscopic cholecystectomy in situs inversus totalis: a case report

          Damian McKay, Geoffrey Blake (2005)
          Background Laparoscopic cholecystectomy is one of the commonest surgical procedures carried out in the world today. Occasionally patients present with undiagnosed situs inversus and acute cholecystitis. We discuss one such case and outline how the diagnosis was made and the pitfalls encountered during surgery and how they were overcome. Case presentation A 32 year old female presented to our department with epigastric pain radiating through to the back. A diagnosis of acute cholecystitis in a patient with situs inversus totalis was made following clinical examination and radiological investigation. Laparoscopic cholecystectomy was subsequently performed and the patient made an uneventful recovery. Conclusion Situs inversus presenting with acute cholecystitis is very rare. The surgeon must appreciate that care should be taken to set up the operating theatre in the mirror image of the normal set-up for cholecystectomy, and that right handed surgeons must modify their technique to adapt to the mirror image anatomy.
          Article 0 comments Cited 20 times – based on 0 reviews     Review now
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            Laparoscopic adjustable gastric banding for morbid obesity in a patient with situs inversus totalis.

            Antony Pittathankal, M. Samaan, Antony Ratnasingham … (2008)
            Laparoscopic surgery with situs inversus may pose particular challenges to the surgeon. We discuss a case of undiagnosed situs inversus totalis in a morbidly obese patient undergoing laparoscopic adjustable gastric banding (LAGB). The patient was a 29-year-old male with a body mass index (BMI) of 56. There was no prior knowledge of his situs inversus totalis, which was only discovered during laparoscopy at the time of surgery. The operative challenges are discussed. LAGB was performed successfully without complication. Postoperative imaging confirmed dextrocardia and situs inversus totalis, as well as correct gastric band position. However, there has been subsequent gastric band erosion and eventual band removal. We discuss the appropriateness of LAGB in this group of patients.
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              Laparoscopic cholecystectomy in situs inversus totalis with left-sided gall bladder.

              Giuseppe Fusai, Senthil Thimmarayan (2007)
              Symptomatic gallstones in patients with situs inversus pose diagnostic and therapeutic challenges. The presentation and management of one such patient is discussed with an emphasis on operative technique.
              Article 0 comments Cited 11 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Minim Access Surg
                Journal ID (publisher-id): JMAS
                Title: Journal of Minimal Access Surgery
                Publisher: Medknow Publications (India )
                ISSN (Print): 0972-9941
                ISSN (Electronic): 1998-3921
                Publication date (Print): Oct-Dec 2011
                Volume: 7
                Issue: 4
                Pages: 242-245
                Affiliations
                [1]Department of Surgery, Seth Nandlal Dhoot Hospital, Chikhalthana, Aurangabad, Maharashtra, India
                Author notes
                Address for correspondence: Dr. Vijay D. Borgaonkar, Department of Surgery, Seth Nandlal Dhoot Hospital, A-1, MIDC, Airport road, Chikhalthana, Aurangabad –431 210, Maharashtra, India. E-mail: vijay.ihpba@ 123456gmail.com
                Article
                Publisher ID: JMAS-7-242
                DOI: 10.4103/0972-9941.85649
                PMC ID: 3193696
                PubMed ID: 22022115
                SO-VID: d6025ca3-b89a-4222-959a-a5105900c28c
                Copyright © Copyright: © Journal of Minimal Access Surgery
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 09 December 2010
                Date accepted : 30 March 2011
                Categories
                Subject: Unusual Case

                ScienceOpen disciplines: Surgery
                Keywords: appendicectomy,laparoscopic cholecystectomy,situs inversus totalis
                Data availability:
                ScienceOpen disciplines: Surgery
                Keywords: appendicectomy, laparoscopic cholecystectomy, situs inversus totalis

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