La Rabta Hospital,
Tunis
Tunisia
Case Report
Acute Cholecystitis in Two Patients Carrying a Situs Inversus: A
Diagnostic and Therapeutic Challenge
Author(s): Anis Haddad, Amine Sebai, Souhaib Atri, Amine Daghfous and Zoubeir Ben SaftaAnis Haddad, Amine Sebai, Souhaib Atri, Amine Daghfous and Zoubeir Ben Safta
The situs inversus is a rare anatomical condition which is characterized by the transposition of organs towards the opposite side. The left position of the gall-bladder makes the diagnosis of acute cholecystitis difficult because of an unusual symptomatology. It is also associated with a difficulty of laparoscopic dissection of the stone-block triangle especially for the right-handed surgeons. We report the cases of 2 patients whose different explorations confirmed the diagnosis of acute cholecystitis and total situs inversus and benefited from a laparoscopic cholecystectomy. Laparoscopic cholecystectomy, in these two cases, is an original intervention because of the mirrored vision of the intraperitoneal organs and can even be difficult leading to iatrogenic complications. However, the laparoscopic approach remains the gold standard even in the presence of this mirrored anatomy.
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DOI:
10.4172/2165-7920.10001000
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report