1/17. situs inversus with cholelithiasis.situs inversus totalis is a form of heterotaxia which is usually detected accidentally while investigating for any associated condition. If undetected, this condition can create a diagnostic puzzle. We report one such case in which situs inversus was associated with cholelithiasis.- - - - - - - - - - ranking = 1keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
2/17. Laparoscopic cholecystectomy in two patients with symptomatic cholelithiasis and situs inversus totalis.BACKGROUND: situs inversus viscerum is a rare condition with a genetic predisposition. We report 2 patients with situs inversus totalis and symptomatic cholelithiasis successfully treated via laparoscopic cholecystectomy. patients AND methods: The first patient was a 61-year-old female presenting with pain in the left upper quadrant associated with fever, chills, nausea and vomiting. The abdomen was tender with guarding and rebounding pain in the same region. Abdominal ultrasound and CT scan confirmed the diagnosis of gallstones as well as situs inversus with the liver and gallbladder on the left side and the spleen on the right. The second patient was a 37-year-old male with known situs inversus who presented with biliary colic due to cholelithiasis. In both patients cholecystectomy was performed laparoscopically in a reverse fashion. RESULTS: Laparoscopic cholecystectomy was carried out successfully despite the reversed anatomic relationships and both patients made a smooth recovery. CONCLUSION: cholelithiasis occurring with situs inversus totalis is rare and may present a diagnostic problem. Laparoscopic cholecystectomy can be safely and effectively applied in the setting of situs inversus, although attention must be paid to the details of left-right reversal.- - - - - - - - - - ranking = 4.1996054668891keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
3/17. Laparoscopic cholecystectomy and appendectomy in situs inversus totalis.situs inversus totalis is an uncommon anatomic anomaly that complicates diagnosis and management of acute abdominal pain. Expedient diagnosis of common intraperitoneal disease processes such as biliary colic, acute appendicitis and diverticulitis is often delayed as a result of seemingly incongruous physical findings. We present the case of a young woman with prior emergency room visits for complaints of a vague left upper quadrant abdominal pain. An ultrasound performed on her third presentation revealed visceral situs inversus with cholelithiasis and dilated intra- and extrahepatic biliary ducts. Standard laparoscopic cholecystectomy and cholangiography with a mirror-image surgical approach was performed successfully and without complication.- - - - - - - - - - ranking = 2.3816029819395keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
4/17. Report of laparoscopic cholecystectomy in two patients with left-sided gallbladders.Laparoscopic cholecystectomy has been widely performed since its introduction in 1987 by Mouret. However, conversion to open cholecystectomy is common when the surgeon encounters variant anatomy. We report 2 cases of cholecystitis and cholelithiasis in patients with left-sided gallbladders that were treated with laparoscopic cholecystectomy by the same surgeon at this institution. The patient in the first case had the condition of situs inversus totalis, and the gallbladder of the second patient was located to the left of the round ligament. In both instances, successful laparoscopic cholecystectomy was performed, and the patients recovered uneventfully.- - - - - - - - - - ranking = 0.4545006212374keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
5/17. Feasibility of laparoscopic cholecystectomy in situs inversus.PURPOSE: To address the feasibility and safety of laparoscopic cholecystectomy in situs inversus and highlight the necessary modifications in the surgical technique. patients AND methods: We present our experience in two patients with situs inversus and symptomatic gallstones who were treated successfully by laparoscopic cholecystectomy. The surgeon stood on the right side with the video monitor above the patient's left shoulder. Two 10-mm ports were placed in the epigastric and subumbilical positions. Two 5-mm ports were placed in the left mid-clavicular and left anterior axillary lines. The two procedures were carried out uneventfully after reorientation of the visual-motor skills of the surgeon and cameraman to the left upper quadrant. A summary of a further similar 13 cases so far treated in the English-language medical literature is also presented. RESULTS: Skeletonizing the structures in Calot's triangle consumed extra time and was more difficult than in patients with a normally sited gallbladder. However, the hospital stay and postoperative complications were similar. CONCLUSION: Laparoscopic cholecystectomy in situs inversus seems to be feasible and safe provided it is performed by an expert laparoscopic surgeon who takes time in clearly demonstrating the extrahepatic mirror image anatomy of the biliary tree with its right-to-left shift.- - - - - - - - - - ranking = 3.1815043486618keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
6/17. Laparoscopic cholecystectomy in a patient with situs inversus totalis.situs inversus is a rare anomaly characterized by transposition of organs to the opposite side of the body. In this group of patients, cholelithiasis is observed with a frequency similar to the normal population. Herein, we report a patient with situs inversus totalis who underwent a successful laparoscopic cholecystectomy. Diagnostic pitfalls and technical details of the operation are discussed in the context of the available literature.- - - - - - - - - - ranking = 2.3816029819395keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
7/17. Left-sided gallbladder:: calculous cholecystitis with situs inversus.A 59-year-old woman with complete situs inversus, developed cholecystitis in a left-sided gallbladder. The diagnosis was made radiologically and a successful operation performed. A diseased gallbladder containing two calculi, together with the appendix, was removed. An operative cholangiogram revealed a normal, but transposed, biliary system. The literature on this subject is reviewed.- - - - - - - - - - ranking = 2.272503106187keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
8/17. Laparoscopic cholecystectomy in a patient with situs inversus totalis and previous abdominal surgery.situs inversus totalis is a rare congenital defect that can present difficulties during laparoscopic surgery due to the mirror-image anatomy. We report a patient with symptomatic cholelithiasis and previous abdominal surgery in whom a chest X-ray revealed a right-sided heart, whereas abdominal ultrasound revealed that his gallbladder was located in the left hypochondrium. At surgery, the surgeon and the camera assistant were standing on the right-hand side of the patient, and the first assistant was standing on the left. The camera was introduced through an umbilical incision, and laparoscopy confirmed the situs inversus. The other 10-mm trocar was placed in the midline left of the falciform ligament and two 5-mm trocars were placed in the left subcostal midclavicular line and anterior axillary line, respectively. After dissection of multiple adhesions caused by previous abdominal surgery, a standard laparoscopic cholecystectomy was performed successfully. This report suggests that situs inversus is not a contraindication for laparoscopic surgery. However, the procedure is more difficult and potentially hazardous due to the mirror-image anatomy (particularly the transposition of biliary ducts) causing difficulties in orientation, so that extreme care is required to avoid iatrogenic injuries. Despite these factors, laparoscopic cholecystectomy can be performed safely in patients with situs inversus totalis.- - - - - - - - - - ranking = 3.2906042244143keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
9/17. Laparoscopic cholecystectomy in situs inversus totalis: a case report.Some of the numerous anomalies of the biliary tract and its vasculature are incompatible with life, whereas others are only medical curiosities. Many, however, are the cause of symptoms, and all are of particular concern to the surgeon who must operate in this area. An example is situs inversus totalis, an anomaly of the biliary tract that can present difficulties in management of abdominal disorders. We present a case of transposition of the viscera (situs inversus) with cholelithiasis, treated successfully with laparoscopy cholecystectomy. This article further affirms the safety and efficacy of laparoscopy in the setting of situs inversus totalis after giving due attention to the details of left-right reversal.- - - - - - - - - - ranking = 3.1815043486618keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
10/17. Laparoscopic cholecystectomy in situs inversus totalis.A 51-year-old woman with known dextrocardia presented with left-sided abdominal pain and symptoms consistent with biliary colic and cholelithiasis. Abdominal ultrasound confirmed the diagnosis of gallstones, as well as situs inversus with the liver and gallbladder on the left side and the spleen on the right. Laparoscopic cholecystectomy was performed without incident. The procedure was uncomplicated except for being the mirror image of that done with the gallbladder in the normal location. cholelithiasis occurring with situs inversus is rare and may present a diagnostic problem. The extrahepatic anatomy of the biliary and venous system is the mirror image of the right sided liver. Historic and genetic aspects of situs inversus, as well as current theories regarding its etiology are presented. situs inversus totalis does not appear to be a contraindication to laparoscopic treatment of cholelithiasis.- - - - - - - - - - ranking = 3.2906042244143keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
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