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Open Cholecystectomy in a Patient With Situs Inversus Totalis and Symptomatic Cholelithiasis: A Case Report
Syeda Farwa Parihan Gillani1, Muhammad Hassaan Javaid2, Rao Nouman Ali1
1College of Physcians and Surgeons Pakistan Karachi Pakistan.
Clinical Case Reports
|August 12, 2026
Abstract:
Situs inversus totalis (SIT) reverses normal anatomical landmarks used during cholecystectomy, requiring careful preoperative imaging, a mirror-image surgical strategy, and strict achievement of the critical view of safety before ductal or vascular division. Despite visceral transposition, open cholecystectomy via a left subcostal (mirror-image Kocher) incision can be performed safely.