Open AccessLaparoscopic cholecystectomy with choledochoduodenostomy in a patient with situs inversus totalis
Author(s) -
Yogesh Takalkar,
Mandar Koranne,
Kumar S Vashist,
Pranalee G Khedekar,
Mahadeo Garale,
Sameer Rege,
Abhay Dalvi
Publication year - 2018
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_122_17
Subject(s) - medicine , situs inversus , common bile duct , laparoscopic cholecystectomy , cholecystectomy , surgery , cholangiography , general surgery , obstructive jaundice , jaundice , stent , calculus (dental) , dentistry
A 50-year-old female presented to us with features of obstructive jaundice. Investigations revealed cholelithiasis with single large impacted calculus in the common bile duct (CBD) and significant dilatation of extrahepatic biliary tree. Incidentally, the patient was also detected to have situs inversus totalis (SIT). Attempt at extraction of the calculus in the CBD by endoscopic retrograde cholangiography failed, and a 7F stent was placed. The patient was subjected to laparoscopic cholecystectomy, CBD exploration with the extraction of the offending calculus and laparoscopic choledochoduodenostomy (LCDD). The patient had an uneventful recovery and is since discharged. PubMed search did not reveal LCDD in SIT as a procedure reported in literature to the best of our knowledge.