LAPAROSCOPIC CHOLECYSTECTOMY A PATIENT WITH ACUTE CALCULOSE CHOLECYSTITIS AND RECIPROCALLY TRANSPOSED INTERNAL ORGANS – CASE PRESENTATION

  • Igor Černi Oddelek za splošno in abdominalno kirurgijo Splošna bolnišnica Celje Oblakova 3 3000 Celje
  • Bogdan Fludernik Oddelek za splošno in abdominalno kirurgijo Splošna bolnišnica Celje Oblakova 3 3000 Celje
Keywords: situs inversus, acute calculous cholecystitis, laparoscopic cholecystectomy

Abstract

Background. Situs inversus viscerum totalis (reciprocally reversed position of internal organs) is a rare case with genetic predisposition, inherited autosomnously recessive. The presented case involves an older patient with complete transposition of internal organs having acute calculous cholecystitis, which was successfully performed the laparoscopic cholecystectomy. Whilst the production of biliary stones in a case of transposed internal organs is very rare, it may well represent a diagnostic problem. It is not, however, the contraindication for laparoscopic surgery.

Patients and methods. The case presents a 64-year-old patient, whose persistent biliary colic trouble eventually resulted in acute cholecystitis. Following routine diagnostics, a laparoscopic cholecystectomy was performed and the patient was released in domestic care after three day hospitalization.

Conclusions. The laparoscopic cholecystectomy may also be safely performed in a patient with reciprocal transposition of all internal organs, but it is imperative to consider the fact that the extra-hepatic anatomy of gall bladder and vascular system is the mirror image of normal, right-hand positioned liver.

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How to Cite
1.
Černi I, Fludernik B. LAPAROSCOPIC CHOLECYSTECTOMY A PATIENT WITH ACUTE CALCULOSE CHOLECYSTITIS AND RECIPROCALLY TRANSPOSED INTERNAL ORGANS – CASE PRESENTATION. ZdravVestn [Internet]. 1 [cited 26Mar.2019];72(7/8). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/1853
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Professional Article