Ryan K Lehmann, DO, Norbert L Richardson, MD. St. Alexius Hospital
Background: Situs inversus totalis is a rare congenital anomaly which is often asymptomatic and therefore not discovered until imaging or surgery.
Methods: We present the case of a 43-year-old morbidly obese female with a body mass index of 49.16 referred to our practice and wishing to undergo laparoscopic sleeve gastrectomy. She was found on preoperative chest x-ray to have dextrocardia, and a computed tomography scan showed situs inversus totalis.
Results: The video shows the complete mirror image of intraabdominal organs requiring adjustment of technique for sleeve gastrectomy. The procedure was performed in the reverse but otherwise usual fashion.
Conclusion: Preoperative discovery of congenital abnormalities including situs inversus totalis should be fully investigated and technique adjusted accordingly.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 78754
Program Number: V206
Presentation Session: Video Loop
Presentation Type: VideoLoop