Laparoscopic cholecystectomy in a patient with partial situs inversus Ryoichi MIYAMOTO 1 , Masanori KOIZUMI 1 , Kenji YUZAWA 1 , Koichi KOZAKI 1 , Toru TERASHIMA 1 , Hamaichi UEKI 1 1Department of Surgery, Mito Medical Center Keyword: 内臓逆位症 , 腹腔鏡下胆囊摘出術 , 胆囊結石症 pp.201-205
Published Date 2011/4/15
DOI https://doi.org/10.11477/mf.4426100615
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 A 40-year-old female patient was referred to us for surgery of gallstones accompanied by partial situs inversus. Preoperative diagnostic imaging revealed heterotaxia of the abdominal organs. At the hepatic hilus, abnormal arrangements of the vascular and biliary systems were noted, such as the gallbladder located approximately in the median abdominal position, the common bile duct arranged dorsal to the portal vein, and the cystic duct crossing the ventral side of the portal vein. With these findings from preoperative imaging taken into account, laparoscopic cholecystectomy was carried out safely without causing any additional injury. We report a case of gallstones accompanied by partial situs inversus(abnormal arrangements of the vascular and biliary systems)where surgery could be performed safely after detailed preoperative diagnostic imaging.

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