Situs inversus totalis with symptomatic cholelithiasis: A diagnostic dilemma

• Main Authors: Vishal Bodh, Rajesh Sharma, R S Jhobta, Brij Sharma, Neeti Aggarwal
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-01-01
• Series: CHRISMED Journal of Health and Research
• Subjects: chest x–ray; electrocardiogram; esophagogastroduodenoscopy; situs inversus totalis; ultrasonogram
• Online Access: http://www.cjhr.org/article.asp?issn=2348-3334;year=2019;volume=6;issue=4;spage=262;epage=264;aulast=Bodh

Situs inversus is a rare autosomal recessive condition, with incidence that varies from 1 in 5000 to 1 in 20,000 live births. Because of the atypical “mirror-image” anatomy associated with situs inversus, diagnosis of gallstone disease in these patients is difficult, especially in those with an unknown history of this condition. We report a case of a young female suspected to have situs inversus on esophagogastroduodenoscopy. Subsequently, she was confirmed to have situs inversus totalis with symptomatic cholelithiasis. She was managed successfully with single-incision laparoscopic cholecystectomy by a right-handed surgeon.