Document Detail

Laparoscopic cholecystectomy in two patients with symptomatic cholelithiasis and situs inversus totalis.
MedLine Citation:
PMID:  10805554     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Situs inversus viscerum is a rare condition with a genetic predisposition. We report 2 patients with situs inversus totalis and symptomatic cholelithiasis successfully treated via laparoscopic cholecystectomy. PATIENTS AND METHODS: The first patient was a 61-year-old female presenting with pain in the left upper quadrant associated with fever, chills, nausea and vomiting. The abdomen was tender with guarding and rebounding pain in the same region. Abdominal ultrasound and CT scan confirmed the diagnosis of gallstones as well as situs inversus with the liver and gallbladder on the left side and the spleen on the right. The second patient was a 37-year-old male with known situs inversus who presented with biliary colic due to cholelithiasis. In both patients cholecystectomy was performed laparoscopically in a reverse fashion. RESULTS: Laparoscopic cholecystectomy was carried out successfully despite the reversed anatomic relationships and both patients made a smooth recovery. CONCLUSION: Cholelithiasis occurring with situs inversus totalis is rare and may present a diagnostic problem. Laparoscopic cholecystectomy can be safely and effectively applied in the setting of situs inversus, although attention must be paid to the details of left-right reversal.
H Demetriades; D Botsios; C Dervenis; J Evagelou; S Agelopoulos; J Dadoukis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Digestive surgery     Volume:  16     ISSN:  0253-4886     ISO Abbreviation:  Dig Surg     Publication Date:  1999  
Date Detail:
Created Date:  2000-07-06     Completed Date:  2000-07-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8501808     Medline TA:  Dig Surg     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  519-21     Citation Subset:  IM    
4th Surgical Department, Aristotle University of Thessaloniki, G Papanikolaou General Hospital, Greece.
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MeSH Terms
Cholecystectomy, Laparoscopic*
Cholecystitis / radiography,  surgery
Cholelithiasis / radiography,  surgery*
Middle Aged
Situs Inversus / radiography,  surgery*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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