A Rare Case of Laparoscopic Cholecystectomy in Situs Inversus Totalis: Case Report

Dr. Richa Jha, Dr. Riya, Dr. I. P. Singh, Dr. Ramendra Singh Rajawat

Abstract: Situs inversus totalis (SIT), a rare congenital anomaly where visceral organs are mirrored, complicates the diagnosis and management of cholelithiasis due to atypical anatomy. This case report describes a 48 - year - old female with SIT who presented with epigastric and left upper quadrant pain for two months. Clinical and radiographic evaluation confirmed cholelithiasis, prompting an elective laparoscopic cholecystectomy. Surgeons employed an inverted laparoscopic approach, adapting port placement to mirror standard positioning, achieving an uneventful recovery. This case underscores the feasibility of laparoscopic cholecystectomy in SIT with careful technical adjustments, despite diagnostic challenges posed by anatomical variations.

Keywords: Situs Inversus Totalis, Cholelithiasis, Laparoscopic, Cholecystectomy