Laparoscopic cholecystectomy and appendectomy in situs inversus totalis.

R. S. Djohan*, H. E. Rodriguez, I. M. Wiesman, J. A. Unti, F. J. Podbielski

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


Situs inversus totalis is an uncommon anatomic anomaly that complicates diagnosis and management of acute abdominal pain. Expedient diagnosis of common intraperitoneal disease processes such as biliary colic, acute appendicitis and diverticulitis is often delayed as a result of seemingly incongruous physical findings. We present the case of a young woman with prior emergency room visits for complaints of a vague left upper quadrant abdominal pain. An ultrasound performed on her third presentation revealed visceral situs inversus with cholelithiasis and dilated intra- and extrahepatic biliary ducts. Standard laparoscopic cholecystectomy and cholangiography with a mirror-image surgical approach was performed successfully and without complication.

Original languageEnglish (US)
Pages (from-to)251-254
Number of pages4
JournalJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
Issue number3
StatePublished - 2000

ASJC Scopus subject areas

  • Surgery


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