Cholecystectomy for cholelithiasis to a woman with totalis situs inversus
Keywords:
DeCS, situs inversus totalis, situs inversus y colelitiasis, colecistectomía convencional, colecistectomía video asistida.Abstract
Background: a brief revision about two medical subjects was made: totalis situs inversus and gallstone disease and its clinical characteristics, as well as its regular treatment that includes the video-assisted cholecystectomy and the traditional one. A references has been made about this clinical association found in a woman with this congenital anomaly since her childhood, the totalis situs inversus.
Objective: to present this patient with both associated deceases that are uncommon and of medical interest.
Clinical case: a regular patient was treated, white skin color, female, 38 years old, with good previous health condition in spite of suffering of a major congenital abnormality. She was six month suffering symptoms of dyspepsia and biliary colic repeated in the left abdomen and diagnosed with only gallstone by clinical method, ultrasonography and radiology, getting confirmed this way the totalis situs inversus, association that is uncommon. An interconsultation with Cardiology and Anesthesiology was made, and getting previously the informed consent, an open cholecystectomy was performed with good evolution until her final discharge.
Conclusions: the evolution in the intraoperative and later in the immediate and mediate postoperative was good, and after six month of treatment, the patient is asymptomatic and has gained body weight.
DeCS: CHOLECYSTECTOMY; SITUS INVERSUS; CHOLELITHIASIS; GALLBLADDER DISEASES; CASE REPORTS.
Downloads
References
1. Echenique Elizondo M, Urkia Etxabe JM. Situs inversus totalis. Primera descripción científica realizada durante la Ilustración en México. Cir Esp. 2001 Nov;70(5):247-50.
2. Pinilla González R, López Lazo S, Quintana Díaz JC, González Rivera A. Colecistitis aguda en paciente con situs inversus totalis. Rev Cub Cir. 2011;50(3):339-47.
3. González Valverde FM, Gómez Ramos MJ, Méndez Martínez M, Pérez Montesinos JM, Tamayo Rodríguez MA, Ruíz Marín M, et al. Colecistectomía laparoscópica en una paciente con situs inversus totalis. Acta Gastroenterol Latinoam. 2010;40:264-7.
4. Ochando Cerdán F, Araúz Cimarra P, Martín Vieira F, Cobos Mateus JM, Seoane González J. Coledolitiasis primaria en paciente con situs inversus totalis. Carta al Director. An Med Interna (Madrid). 2003 Mar;20(3):162-3.
5. Pereira Graterol F, Siso Calderón L. Consideraciones técnicas durante la colecistectomía laparoscópica en pacientes con situs inversus totalis. Cir Ciruj. 2009;77:145-8.
6. Ibrahim Abdelkader S, Mohammed Hussein A, Houseni M. Laparoscopic cholecystectomy in situs inversus totalis: feasibility and review of literature. Int J Surg Case Rep. 2013 May 6;4(8):711-5.
7. Vara Thorbeck C, Toscano R, Villa E, Torres J, Asholt S. Coledocolitiasis y colelitiasis tratadas por laparoscopía, en dos pacientes con situs anomalies. Seclaendosurgery [Internet]. 2009 [citado 24 Jun 2016];(28):[aprox. 6 p.]. Disponible en: http://www.seclaendosurgery.com/secla/seclan28/articulos/prart01.htm
8. Castro Denny J, Faria A de. Esfinterotomía biliar en litiasis coledociana en paciente con situs inversus total: a próposito de un caso. Rev Col Gastroenterol. Jun 2013;28(2):146-8.
9. Sánchez Egido I, Hernández Pérez C, Pardo Martínez C, González Taranco J, Álvarez Fernández-Represa J. Colecistectomía laparoscópica en pacientes con situs inversus totalis: modificación de la técnica habitual. Seclaendosurgery [Internet]. 2010 [citado 26 Jun 2016];(33):[aprox. 9 p.]. Disponible en: http://www.seclaendosurgery.com/index.php?option=com_content&view=article&id=93&Itemid=92
10. El-Saady AM. Laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report on how to obtain a critical view of safety? J Surg. 2015;34(4):293-8.
11. Deguchi Y, Mitamura K, Omotaka S, Eguchi J, Sakuma D, Sato M, et al. Single-incision cholecystectomy in a patient with situs inversus totalis presenting with cholelithiasis: A case report. Asian J Endosc Surg. 2015 Aug;8(3);347-9.
12. Butt MQ, Chatha SS, Ghumman AQ, Rasheed A, Farooq M, Ahmed J. Laparoscopic cholecystectomy for left sided gallbladder in situs inversus totalis. J Coll Physicians Surg Pak. 2015 Apr;25(11);S22-3.
13. Mn R, MS S, SK Bb. Laparoscopic cholecystectomy in situs inversus totalis. J Clin Diagn Res. 2014 Jul;8(7):3-5.
14. Phothong N, Akaraviputh T, Chinswangwatanakul V, Trakarnsanga A. Simplified technique of laparoscopic cholecystectomy in a patient with situs inversus: a case report and review of techniques. BMC Surg. 2015 Jan;15:23-4.
15. Mora Guzmán I, Muñoz de Nova JL, Vivancos Costaleite K, Martín Pérez E. Acute Cholecystitis in a Situs Inversus Totalis Patient. Cir Esp. 2016;94(3):181-2.
16. Zeledón Pérez M. Cálculo biliar gigante del colédoco con situs inversus de vísceras abdominales. Rev Med de Costa Rica Centroam. 2007;LXIV(579):77-80.

Published
How to Cite
Issue
Section
License
Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.
Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.
(Download Statement of potential conflicts of interest)
The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).
This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/