Sleeve Gastrectomy in a Patient with Situs Inversus

Federico Moser, MD, Pablo Maldonado, MD, Veronica Gorodner, A. Alcaraz, MD, Lucio Obeide, MD

Hospital Privado Centro Medico de Cordoba

Background: Situs inversus is a rare genetic condition in which the major visceral organs are reversed or mirrored from their normal positions. The incidence is 1 in 10000 people. We present our experience performing a laparoscopic sleeve gastrectomy (LSG) in a patient with situs inversus.

Material and Methods: 31 yo female, referred to our clinic for the treatment of morbid obesity. Her BMI was 41 kg/m². Her past medical history was significant for situs inversus, acanthosis nigricans, and dyslipidemia. Decision was made to perform a LSG.

Results: During her preoperative evaluation, a chest X-ray showed dextrocardia. A small bowel follow through showed the stomach and duodenum in mirror position. No hiatal hernia was seen. The CT scan showed the liver towards the left, the heart towards the right, and the stomach towards the right upper quadrant. Operative time was 87 minutes. Oral intake was started on postopeative day 1. No complications were observed. The patient was discharge home on postop day 3. At 10 months follow up, % EWL was 62%.

Conclusion: Situs inversus is a rare condition in which recognition of the anatomy plays a key role. LSG could be safely performed.

Session: Podium Presentation

Program Number: V010

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