Background: Surgical problem known as Acute Cholecystitis is very common nowadays; however it may cause trouble in diagnosing when person has situs inversus, (i.e.) viscera situated on the opposite side of the body. Our case report discusses the history and physical exam findings, images of radiograph, diagnosis, and how we dealt with cholecystitis in situs inversus with dextrocardia.
Case Presentation: An eighty-six yrs. old male having pain in the upper left hypochondrium region, presented in emergency department. He was later diagnosed to have acute cholecystitis (inflammation of the gallbladder) with cholelithiasis (presence of gallstones in gallbladder) in situs inversus totalis. Patient underwent elective open cholecystectomy within 24 h. Patient recovered well and was discharged on fourth postoperative day.
Conclusion: Acute cholecystitis in Situs Inversus with Dextrocardia is very rare congenital anomaly and requires great expertise in the field of surgery to operate on these patients because of the reverse anatomy of the organs.
Mayo C.W, Rice R.G. Situs inversus totalis; a statistical review of data on 76 cases with special reference to disease of the biliary tract. Arch Surg. 1949 May; 58(5): 724-730. Doi:10.1001/archsurg.1949.01240030734014
Morelli SH, Young L, Reid B, Ruttenberg H, Bamshad MJ. Clinical analysis of families with heart, midline, and laterality defects. Am J Med Genet. 2001 July 15; 101(4): 388-392
Maldjian PD, Saric M. Approach to dextrocardia in adults: Review. AJR Am J Roentgenol. 2007 June; 188: S39-49. Doi: 10.2214/AJR.06.1179
Docimo G, Manzi F, Maione L, Canero A, Veneto F, Lo Schiavo F. Case report: Laparoscopic cholecystectomy in situs viscerum inversus. Hepato-gastroenterology. 2004 July-August; 51(58): 958–960. http://europepmc.org/abstract/med/15239223
Kenny P. Koo. Journal of Laparoendoscopic & Advanced Surgical Techniques. Laparoscopic Nissen Fundoplication in a Patient with Situs Inversus Totalis: An Ergonomic Consideration. June 2006, 16(3): 271-273. https://doi.org/10.1089/lap.2006.16.271
Ashwanth Reddy, Surendran Paramasivam, Naveen Alexander, Abhilash, Vigneshwar Ravisankar, Manoj Thillai. Management of a patient with situs inversus totalis with acute cholecystitis and common bile duct stones: A case report. International Journal of surgery case reports, 5 (11): 821-823.
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