Laparoscopic cholecystectomy, in a patient with situs inversus totalis

Abstract

SUMMARY
We present an elderly patient with known dextrocardia and
pain in the left upper quadrant associated with high fever,
chills and vomiting and a palpable mass in the same region.
The abdominal ultrasound confirmed the diagnosis
of situs inversus with the liver and gallbladder on the left
side and the spleen on the right. The gallbladder was distended
with thick shaggy walls and contained a lot of large
gallstones in the neck. The patient was treated via laparoscopic
cholecystectomy and the postoperative recovery was
uneventful.
Key words: Situs inversus totalis, laparoscopic cholecystectomy,
empyema of the gallbladder