Abstract
A case report of the successful management of a patient with situs inversus viscerum and symptomatic choledocholithiasis and cholangitis is presented. The preoperative evaluation of the choledochus via ERCP and successful common bile duct stone extraction enabled successful laparoscopic cholecystectomy. The anatomic challenge of situs inversus viscerum mandates the selective use of intraoperative cholangiography during and upon completion of the laparoscopic cholecystectomy.
Similar content being viewed by others
References
Campos L, Sipes E (1991) Laparoscopic cholecystectomy in a 39-year-old female with situs inversus. J Laparoendosc Surg 1 (2): 123–126
Drover JW, Nguyen KT, Pace RF (1992) Laparoscopic cholecystectomy in a patient with situs inversus viscerum: a case report. Can J Surg 35 (1): 9–10, 65–66
Goh P, Tekant Y, Shang NS, Ngoi SS (1992) Laparoscopic cholecystectomy in a patient with empyema of the gallbladder and situs inversus. Endoscopy 24 (9): 799–800
Hiraoka K, Haratake J, Horie A, Myagawa T (1988) Bilateral renal dysplasia, pancreatic fibrosis, intrahepatic biliary dysgenesis, and situs inversus totalis in a boy. Hum Pathol 19: 871
Huang SM, Chau GY, Lui WY (1992) Laparoscopic cholecystectomy for cholelithiasis in a patient with situs inversus totalis. Endoscopy 24 (9): 802–803
Huguier M, Bornet P, Charpak Y, Houry S, Chastang C (1991) Selective contraindications based on multivariate analysis for operative cholangiography in biliary lithiasis. Surg Gynecol Obstet 172 (6): 470–474
Lipschutz JH, Canal DF, Hawes RH, Ruggolo TA, Besold MA, Lehman GA (1992) Laparoscopic cholecystectomy and ERCP with sphincterotomy in an elderly patient with situs inversus. Am J Gastroenterol 87 (2): 218–220
Southam JA (1975) Left-sided gallbladder: calculus cholecystitis with situs inversus. Ann Surg 182: 135–137
Stout DJ, Sivak MV, Sullivan BH (1980) Endoscopic sphincterotomy and removal of gallstones. Surg Gynecol Obstet 150: 673
Takei HT, Maxwell JG, Clancy TV, Tinsley EA (1992) Laparoscopic cholecystectomy in situs inversus totalis. J Laparoendosc Surg 2 (4): 171–176
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
McDermott, J.P., Caushaj, P.F. ERCP and laparoscopic cholecystectomy for cholangitis in a 66-year-old male with situs inversus. Surg Endosc 8, 1227–1229 (1994). https://doi.org/10.1007/BF00591057
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00591057