Laparoscopic Gallbladder Surgery in A Patient with Situs Inversus Totalis and Cholecystitis without Stones

Abstract

This article presents a relevant clinical case of a 72-year-old female patient with recurrent episodes of acute abdomen. Two rare conditions were confirmed: Situs Inversus Totalis (SIT) and Cholelithiasis, leading to the scheduling of elective surgery. In addition, an association with Kartagener's syndrome is suspected, adding complexity to her medical condition. Situs Inversus Totalis is a rare congenital anomaly in which the internal organs are inverted compared to their normal anatomical position. The incidence varies, affecting an average of 1-2 of every 10,000-15,000 live births. Early detection of this condition is essential to guide the patient and medical staff in invasive procedures or surgeries. The patient presents cholelithiasis, which led to the planning of surgery to remove the gallbladder. The possible association with Kartagener's syndrome, characterized by situs inversus, chronic sinusitis, and bronchiectasis, adds complexity to clinical care, requiring a multidisciplinary approach. The report of this clinical case highlights the importance of early detection of Situs Inversus Totalis, especially when associated with other pathologies.