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Elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis

Situs viscerum inversus totalis is a rare disorder presenting with complete transposition of thoracic and abdominal viscera. It is associated with certain organ anomalies, but it is not a predisposing factor to cholecystolithiasis. To date, fewer than 100 cholecystectomies in patients with situs inv...

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Autores principales: Lochman, Petr, Hoffmann, Petr, Kočí, Jaromír
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516985/
https://www.ncbi.nlm.nih.gov/pubmed/23256031
http://dx.doi.org/10.5114/wiitm.2011.26842
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author Lochman, Petr
Hoffmann, Petr
Kočí, Jaromír
author_facet Lochman, Petr
Hoffmann, Petr
Kočí, Jaromír
author_sort Lochman, Petr
collection PubMed
description Situs viscerum inversus totalis is a rare disorder presenting with complete transposition of thoracic and abdominal viscera. It is associated with certain organ anomalies, but it is not a predisposing factor to cholecystolithiasis. To date, fewer than 100 cholecystectomies in patients with situs inversus have been published worldwide. We report a case of a 75-year-old woman referred to our hospital with abdominal pain in the left hypochondrium. Situs inversus totalis and acute calculous cholecystitis were diagnosed and successfully conservatively treated with antibiotics. The patient underwent elective laparoscopic cholecystectomy 3 months later. The procedure and postoperative course were uneventful and the patient recovered well. The clinical presentation of these patients with cholecystolithiasis may be confusing and vague and the correct diagnosis delayed. Laparoscopic cholecystectomy is the gold standard in the treatment even though the operation requires some modifications in operating theatre arrangement and position of the surgical team. Most surgeons are right-handed, and to operate laparoscopically in the “mirror image” anatomical situation using mainly the left hand for dissection may be stressful, uncomfortable and more time-consuming. Some recommendations to overcome this issue have been published. In conclusion, the above-mentioned anomaly may cause some risk and delay of the exact diagnosis, but it is not dangerous in itself. Laparoscopic cholecystectomy is a safe procedure, even in the case of acute cholecystitis, if performed by an experienced laparoscopic surgeon. The most dangerous is always an incautious and too self-confident surgeon.
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spelling pubmed-35169852012-12-19 Elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis Lochman, Petr Hoffmann, Petr Kočí, Jaromír Wideochir Inne Tech Maloinwazyjne Case Report Situs viscerum inversus totalis is a rare disorder presenting with complete transposition of thoracic and abdominal viscera. It is associated with certain organ anomalies, but it is not a predisposing factor to cholecystolithiasis. To date, fewer than 100 cholecystectomies in patients with situs inversus have been published worldwide. We report a case of a 75-year-old woman referred to our hospital with abdominal pain in the left hypochondrium. Situs inversus totalis and acute calculous cholecystitis were diagnosed and successfully conservatively treated with antibiotics. The patient underwent elective laparoscopic cholecystectomy 3 months later. The procedure and postoperative course were uneventful and the patient recovered well. The clinical presentation of these patients with cholecystolithiasis may be confusing and vague and the correct diagnosis delayed. Laparoscopic cholecystectomy is the gold standard in the treatment even though the operation requires some modifications in operating theatre arrangement and position of the surgical team. Most surgeons are right-handed, and to operate laparoscopically in the “mirror image” anatomical situation using mainly the left hand for dissection may be stressful, uncomfortable and more time-consuming. Some recommendations to overcome this issue have been published. In conclusion, the above-mentioned anomaly may cause some risk and delay of the exact diagnosis, but it is not dangerous in itself. Laparoscopic cholecystectomy is a safe procedure, even in the case of acute cholecystitis, if performed by an experienced laparoscopic surgeon. The most dangerous is always an incautious and too self-confident surgeon. Termedia Publishing House 2012-01-26 2012-08 /pmc/articles/PMC3516985/ /pubmed/23256031 http://dx.doi.org/10.5114/wiitm.2011.26842 Text en Copyright © 2012 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lochman, Petr
Hoffmann, Petr
Kočí, Jaromír
Elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis
title Elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis
title_full Elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis
title_fullStr Elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis
title_full_unstemmed Elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis
title_short Elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis
title_sort elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516985/
https://www.ncbi.nlm.nih.gov/pubmed/23256031
http://dx.doi.org/10.5114/wiitm.2011.26842
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AT kocijaromir electivelaparoscopiccholecystectomyina75yearoldwomanwithsitusvisceruminversustotalis