Biliary stone in patient with situs inversus totalis

Area of Science:

• Medical Case Reports
• Surgical Innovation
• Gastroenterology

Background:

• Situs inversus totalis (SIT) is a congenital condition with complete transposition of thoracic and abdominal organs.
• While often asymptomatic, SIT can be associated with specific organ abnormalities.
• Cholelithiasis, or gallstones, typically presents with upper abdominal pain.

Observation:

• A woman with situs inversus totalis presented with symptoms consistent with choledocholithiasis.
• The patient experienced epigastric pain, a common symptom of gallstones.
• Diagnosis confirmed choledocholithiasis in the context of SIT.

Findings:

• Elective laparoscopic cholecystectomy was successfully performed on the patient with SIT.
• Intraoperative modifications were necessary due to the patient's unique anatomy.
• The patient recovered well and was discharged in good health.

Implications:

• This case highlights the feasibility of managing common surgical conditions like choledocholithiasis in patients with SIT.
• Adaptations in surgical technique are crucial for successful outcomes in rare anatomical variations.
• Effective management of morbidities in SIT individuals can be achieved with careful planning and execution.