Resumen

MARQUEZ HERNANDEZ, oaquin; HOOKER JESSE, Heriberto; ADAN MARTINEZ, Yamilet  y  ARMAS PEREZ, Bárbaro A. Cholecystectomy for cholelithiasis to a woman with totalis situs inversus. AMC [online]. 2017, vol.21, n.2, pp.264-270. ISSN 1025-0255.

Background: a brief revision about two medical subjects was made: totalis situs inversus and gallstone disease and its clinical characteristics, as well as its regular treatment that includes the video-assisted cholecystectomy and the traditional one. A references has been made about this clinical association found in a woman with this congenital anomaly since her childhood, the totalis situs inversus. Objective: to present this patient with both associated deceases that are uncommon and of medical interest. Clinical case: a regular patient was treated, white skin color, female, 38 years old, with good previous health condition in spite of suffering of a major congenital abnormality. She was six month suffering symptoms of dyspepsia and biliary colic repeated in the left abdomen and diagnosed with only gallstone by clinical method, ultrasonography and radiology, getting confirmed this way the totalis situs inversus, association that is uncommon. An interconsultation with Cardiology and Anesthesiology was made, and getting previously the informed consent, an open cholecystectomy was performed with good evolution until her final discharge. Conclusions: the evolution in the intraoperative and later in the immediate and mediate postoperative was good, and after six month of treatment, the patient is asymptomatic and has gained body weight.

Palabras clave : CHOLECYSTECTOMY; SITUS INVERSUS; CHOLELITHIASIS; GALLBLADDER DISEASES; CASE REPORTS.

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