Sleeve gastrectomy on a patient with situs Inversus: A case report

INTRODUCTION AND IMPORTANCE: Bariatric surgery is one of the methods used to treat obesity. Performing Laparoscopic Sleeve Gastrectomy (LSG) on patients with Situs Inversus Totals (SIT) could be very challenging and has no standard protocol yet. The aim of this case report is to describe our experience in performing laparoscopic sleeve gastrectomy in situs inversus patients. The article has been reported in line with the SCARE criteria. CASE PRESENTATION: Our patient is a 33-year-old woman with a body mass index (BMI) of 45 kg/m2, known case of polycystic ovarian syndrome (PCOS) and secondary infertility. She was admitted to the hospital for LSG for weight reduction surgery. Preoperative investigations showed that the patient had SIT. Subsequently, we successfully performed LSG on this patient without intraoperative or postoperative complications. The patient was discharged home two days post-operation and given a follow-up appointment after two weeks. CASE DISCUSSION: Literature review states that SIT occurs once in 10,000 to 50,000 births. Therefore, it can serve as a challenge when performing any operation such as LSG. CONCLUSION: A good understanding and a well-planned approach prior to any surgery will ease the performance of the procedure and lead to better outcomes for the patient post-operation.