[Laparoscopic cholecystectomy in totalis situs inversus for cholecystitis]

Various congenital anomalies, organ transpositions impose special demands on building up the diagnosis; the mirror image of the abdominal organs tests the skills of the surgeon. We report a case of a 68 year old female patient, with a known situs inversus totalis, who underwent a laparoscopic cholecystectomy. We discuss our diagnostic steps (such as US, ERCP and EST), the variation of maneuvers used during the operation. No iatrogenic event occurred. We also stress that the surgeon should be alert of possible local anatomic variations and, if needed, conversion should be a solution of choice.