Laparoscopic cholecystectomy in situs inverses totalis with gall bladder phlegmon: A case report

Abstract Situs inverses totalis is a rare condition characterized by the transposition of abdominal and thoracic organs, often associated with cardiac anomalies.There is no established correlation between gall stones and Situs inverses.Laproscopic cholecystectomy remains the gold standard treatment for calculous cholecystitis. Acute cholecystitis in patients with situs inversus totalis has previously been reported to be managed laparoscopically by left-handed surgeons or by using the French position for port placement. Gall bladder phlegmon is technically challenging to manage laproscopically and becomes more demanding in patients with situs inversus.We are reporting a case of gall bladder phlegmon in a patient with situs inversus which was performed by slight modification of port positioning by a right handed surgeon. Keywords: Laproscopic cholecystectomy, acute cholecystitis, gall bladder phlegmon, situs inverses, calcolous cholecystitis.

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Publication Details

Journal
Journal of the Pakistan Medical Association
Published
2026-11-01
DOI
https://doi.org/10.47391/jpma.30014
Primary Topic
Gallbladder and Bile Duct Disorders
Type
article
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article

Laparoscopic cholecystectomy in situs inverses totalis with gall bladder phlegmon: A case report

Khurram Niaz, Narmeen Fatima, Mohammad Nauman Ashraf, Hunzia Sultan
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Journal of the Pakistan Medical Association
Gallbladder and Bile Duct Disorders
article

Laparoscopic cholecystectomy in situs inverses totalis with gall bladder phlegmon: A case report

Khurram Niaz, Narmeen Fatima, Mohammad Nauman Ashraf, Hunzia Sultan
article en

Abstract

Abstract Situs inverses totalis is a rare condition characterized by the transposition of abdominal and thoracic organs, often associated with cardiac anomalies.There is no established correlation between gall stones and Situs inverses.Laproscopic cholecystectomy remains the gold standard treatment for calculous cholecystitis. Acute cholecystitis in patients with situs inversus totalis has previously been reported to be managed laparoscopically by left-handed surgeons or by using the French position for port placement. Gall bladder phlegmon is technically challenging to manage laproscopically and becomes more demanding in patients with situs inversus.We are reporting a case of gall bladder phlegmon in a patient with situs inversus which was performed by slight modification of port positioning by a right handed surgeon. Keywords: Laproscopic cholecystectomy, acute cholecystitis, gall bladder phlegmon, situs inverses, calcolous cholecystitis.

Journal of the Pakistan Medical AssociationVol. 76(11)
Shaikh Zayed Medical College and Hospital (PK)
Good health and well-being
Openalex Percentile: Top 12%
Gallbladder and Bile Duct Disorders
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Laparoscopic cholecystectomy in situs inverses totalis with gall bladder phlegmon: A case report — Khurram Niaz, Narmeen Fatima, et al. · Journal of the Pakistan Medical Association (2026) | TGRS Research Map | TGRS