J Korean Surg Soc.  1999 Oct;57(4):600-605.

Laparoscopic Cholecystectomy and ERCP with Sphincterotomy in a Woman with Situs Inversus Totalis

• Suh HH
• Park HB
• Rheu HK

Abstract

Situs inversus totalis is a mirror image of the normal anatomy in the thoracic and the abdominal cavity. The cardiac apex, the stomach and the aortic arch are all on the right side. It is a rare condition with a genetic predisposition that is autosomal recessive and is associated with a 5-10% incidence of congenital heart disease. In a situs inversus totalis with cholelithiasis and choledocholithiasis, laparoscopic cholecystectomy was performed three days after endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy. In the laparoscopic cholecystectomy, pneumoperitoneum was made by a closed method, and the cholecystectomy was performed using the three trocar technique. Although we should pay much attention to the details of left-right reversal, these techniques can be safely and effectively applied to situs inversus totalis patients.

Keyword

Situs inversus totalis; Laparoscopic cholecystectomy; ERCP; Sphincterotomy; Gallstone

MeSH Terms

Abdominal Cavity
Aorta, Thoracic
Cholangiopancreatography, Endoscopic Retrograde*
Cholecystectomy
Cholecystectomy, Laparoscopic*
Choledocholithiasis
Cholelithiasis
Female
Gallstones
Genetic Predisposition to Disease
Heart Defects, Congenital
Humans
Incidence
Pneumoperitoneum
Situs Inversus*
Stomach
Surgical Instruments