Abstract

PANDO SANTOS, Alejandro  and  HERNANDEZ RODRIGUEZ, Gerardo. Laparoscopic cholecystectomy in situs inversus totalis. Rev Cubana Cir [online]. 2017, vol.56, n.4, pp. 1-6. ISSN 1561-2945.

Situs inversus totalis (SIT) is a rare congenital anomaly characterized by the transposition of the thoracic-abdominal organs towards the sagittal direction, producing an image called "in mirror". The case is presented of a 59-year-old female patient, with a diagnosis of vesicular lithiasis and situs inversus totalis for cholelithiasis, treated by laparoscopic cholecystectomy in Comandante Manuel Fajardo University Hospital of Havana. The patient's clinical picture had a natural history of 6 months, with left colic pain in the left hipocondrium, with nauseas, accentuated on ingestion of greasy meals. The laboratory test results showed normal parameters. X-rays of the abdomen confirmed vesicular cholestasis and situs inversus totalis. The patient's postoperative evolution after one year was satisfactory, showing the feasibility of the surgical technique used.

Keywords : cholelithiasis; situs inversus totalis; cholecystectomy.

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