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J Med Case Rep. 2012 Apr 3;6:96. doi: 10.1186/1752-1947-6-96.

Single-port cholecystectomy in a patient with situs inversus totalis presenting with cholelithiasis: a case report.

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Hospital Municipal Lourenço Jorge, Av, Ayrton Senna 2000, Barra da Tijuca, Rio de Janeiro, Brasil.



Situs inversus totalis (mirror image organs) is a rare condition and may affect the intra-abdominal viscera as well as the intrathoracic organs. Cholelithiasis is not more common in these conditions, but the diagnosis may be more difficult.


We present the case of a 59-year-old African woman with gallstones and situs inversus totalis. A single-port cholecystectomy was performed using a single trocar access device (SITRACC).


The procedure was uneventful, showing that this approach may be an option for this kind of surgery even in patients with situs inversus totalis.

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