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©The Author(s) 2005. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 7, 2005; 11(33): 5232-5234
Published online Sep 7, 2005. doi: 10.3748/wjg.v11.i33.5232
Published online Sep 7, 2005. doi: 10.3748/wjg.v11.i33.5232
Laparoscopic cholecystectomy in situs inversus totalis with “inferior” cystic artery: A case report
Sumihiro Kamitani, Yosihiro Tsutamoto, Kazuyoshi Hanasawa, Tohru Tani, First Department of Surgery, Shiga University of Medical Science, Japan
Author contributions: All authors contributed equally to the work.
Correspondence to: Sumihiro Kamitani, First Department of Surgery, Shiga University of Medical Science, Ohtsu, Shiga 520-2192, Japan. sumihiro@belle.shiga-med.ac.jp
Telephone: +81-77-548-2238 Fax: +81-77-548-2240
Received: February 9, 2005
Revised: March 21, 2005
Accepted: March 23, 2005
Published online: September 7, 2005
Revised: March 21, 2005
Accepted: March 23, 2005
Published online: September 7, 2005
Abstract
A 76-year-old man with known situs inversus totalis presented with left-sided discomfort. Abdominal ultrasonography and CT scan confirmed the diagnosis of a gallstone, as well as, situs inversus; the liver and gallbladder on the left side and the spleen on the right. The biliary system was thought to be left-right reversal, mirror image in the view of drip infusion cholangiogram and MRI. Laparoscopic cholecy stectomy was safely performed, despite of unexpected aberrant cystic artery running inferior to cystic duct of situs inversus. Laparoscopic surgeon should be careful for view of reversed relationships and also existence of other anomalies.