medigraphic.com
ISSN 1025-0255 (Electronic)

2017, Number 2

<< Back Next >>

AMC 2017; 21 (2)

Cholecystectomy for cholelithiasis to a woman with totalis situs inversus

Márquez HJ, Hooker JH, Adán MY, Armas PBA

Language: Spanish
References: 16
Page: 264-270
PDF size: 408.21 Kb.


ABSTRACT

Background: a brief revision about two medical subjects was made: totalis situs inversus and gallstone disease and its clinical characteristics, as well as its regular treatment that includes the video-assisted cholecystectomy and the traditional one. A references has been made about this clinical association found in a woman with this congenital anomaly since her childhood, the totalis situs inversus.
Objective: to present this patient with both associated deceases that are uncommon and of medical interest.
Clinical case: a regular patient was treated, white skin color, female, 38 years old, with good previous health condition in spite of suffering of a major congenital abnormality. She was six month suffering symptoms of dyspepsia and biliary colic repeated in the left abdomen and diagnosed with only gallstone by clinical method, ultrasonography and radiology, getting confirmed this way the totalis situs inversus, association that is uncommon. An interconsultation with Cardiology and Anesthesiology was made, and getting previously the informed consent, an open cholecystectomy was performed with good evolution until her final discharge.
Conclusions: the evolution in the intraoperative and later in the immediate and mediate postoperative was good, and after six month of treatment, the patient is asymptomatic and has gained body weight.


REFERENCES

  1. Echenique Elizondo M, Urkia Etxabe JM. Situs inversus totalis. Primera descripción científica realizada durante la Ilustración en México. Cir Esp. 2001 Nov;70(5):247-50.

  2. Pinilla González R, López Lazo S, Quintana Díaz JC, González Rivera A. Colecistitis aguda en paciente con situs inversus totalis. Rev Cub Cir. 2011;50(3):339-47.

  3. González Valverde FM, Gómez Ramos MJ, Méndez Martínez M, Pérez Montesinos JM, Tama-yo Rodríguez MA, Ruíz Marín M, et al. Colecistec-tomía laparoscópica en una paciente con situs inversus totalis. Acta Gastroenterol Latinoam. 2010;40:264-7.

  4. Ochando Cerdán F, Araúz Cimarra P, Martín Vieira F, Cobos Mateus JM, Seoane González J. Coledolitiasis primaria en paciente con situs in-versus totalis. Carta al Director. An Med Interna (Madrid). 2003 Mar;20(3):162-3.

  5. Pereira Graterol F, Siso Calderón L. Conside-raciones técnicas durante la colecistectomía la-paroscópica en pacientes con situs inversus to-talis. Cir Ciruj. 2009;77:145-8.

  6. Ibrahim Abdelkader S, Mohammed Hussein A, Houseni M. Laparoscopic cholecystectomy in si-tus inversus totalis: feasibility and review of lite-rature. Int J Surg Case Rep. 2013 May 6;4(8):711-5.

  7. Vara Thorbeck C, Toscano R, Villa E, Torres J, Asholt S. Coledocolitiasis y colelitiasis tratadas por laparoscopía, en dos pacientes con situs anomalies. Seclaendosurgery [Internet]. 2009 [citado 24 Jun 2016];(28):[aprox. 6 p.]. Dispo-nible en: http://www.seclaendosurgery.com/secla/seclan28/articulos/prart01.htm

  8. Castro Denny J, Faria A de. Esfinterotomía biliar en litiasis coledociana en paciente con situs inversus total: a próposito de un caso. Rev Col Gastroenterol. Jun 2013;28(2):146-8.

  9. Sánchez Egido I, Hernández Pérez C, Pardo Martínez C, González Taranco J, Álvarez Fernán-dez-Represa J. Colecistectomía laparoscópica en pacientes con situs inversus totalis: modificación de la técnica habitual. Seclaendosurgery [Internet]. 2010 [citado 26 Jun 2016];(33):[aprox. 9 p.]. Disponible en: http://www.seclaendosurgery.com/index.php?opti-on=com_content&view=article&id=93&Itemid=92

  10. El-Saady AM. Laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report on how to obtain a critical view of safety? J Surg. 2015;34(4):293-8.

  11. Deguchi Y, Mitamura K, Omotaka S, Eguchi J, Sakuma D, Sato M, et al. Single-incision cho-lecystectomy in a patient with situs inversus to-talis presenting with cholelithiasis: A case re-port. Asian J Endosc Surg. 2015 Aug;8(3);347-9

  12. Butt MQ, Chatha SS, Ghumman AQ, Ras-heed A, Farooq M, Ahmed J. Laparoscopic cho-lecystectomy for left sided gallbladder in situs inversus totalis. J Coll Physicians Surg Pak. 2015 Apr;25(11);S22-3.

  13. Mn R, MS S, SK Bb. Laparoscopic cholecys-tectomy in situs inversus totalis. J Clin Diagn Res. 2014 Jul;8(7):3-5.

  14. Phothong N, Akaraviputh T, Chinswangwata-nakul V, Trakarnsanga A. Simplified technique of laparoscopic cholecystec-tomy in a patient with situs inversus: a case re-port and review of techniques. BMC Surg. 2015 Jan;15:23-4.

  15. Mora Guzmán I, Muñoz de Nova JL, Vivancos Costaleite K, Martín Pérez E. Acute Cholecystitis in a Situs Inversus Totalis Patient. Cir Esp. 2016;94(3):181-2.

  16. Zeledón Pérez M. Cálculo biliar gigante del colédoco con “situs inversus” de vísceras abdo-minales. Rev Med de Costa Rica Centroam. 2007;LXIV(579):77-80.




2020     |     www.medigraphic.com