Jornal de relatos de casos clínicos

Situs Inversus: Open Cholecystectomy and Appendectomy: A literature Review

Abstract

Irfan Ud Din, Syed Faizan Hassan Shah, Madiha Ghazanfar, Zain Ul Abieen, Mustansar Hussain and Shaima Arif Shah

Introduction: Situs inversus is a rare autosomal disorder with transposition of abdominal and thoracic organs. The prevelance is low upto 0.04%. Investigating the disease and performing surgical procedure is difficult because of difficult anatomy. We hereby report a case of symptomatic gallstones in 86 years old patient incidentally diagnosed as case of situs inversus after appropriate investigations. We also include a review of literature.

Method: Case report and literature review.

Case: An 86-year-old male patient with pain in left hypochondrium and vomiting after meal intake. He was diagnosed as case of situs inversus after 86 years. This patient successfully underwent open cholecystectomy and prophylactic appendectomy. The recovery was smooth and diagnosed without complications on painkillers.

Conclusion: Therefore, meticulous attention is needed to diagnose and operate the disease. Ability to deal with anatomical variations and hands on surgery by skilled surgeon decreases complications and successful recovery.