Hillary B Prince, MD, MS, Scott Nguyen, MD. Icahn School of Medicine at Mount Sinai
INTRODUCTION: Situs inversus is a rare condition involving complete transposition of the abdominal organs, essentially a mirror image of normal anatomy. Its incidence is estimated to be approximately 1 in 10,000 to 1 in 20,000 people. We present a case in which we performed laparoscopic sleeve gastrectomy in a patient with situs inversus.
MATERIALS AND METHODS: 53 yo female was referred to our clinic for evaluation for bariatric surgery. Her BMI was 42 kg/m2. Past medical history was significant for diastolic heart failure, moderate mitral regurgitation, moderate pulmonary hypertension, pre-diabetes, and obstructive sleep apnea. Past surgical history was significant for laparoscopic cholecystectomy many years prior at another institution.
RESULTS: The patient underwent laparoscopic sleeve gastrectomy. She had an upper GI series performed on POD1 that was negative for leak. She had an uncomplicated post-operative course and was discharged on POD2 tolerating a bariatric stage II diet.
CONCLUSION: Situs inversus is a very rare condition, and knowledge of the anatomy is key to careful operative planning. Laparoscopic sleeve gastrectomy can be safely performed in this patient population.
 Thillai M, Alexander N, et al. Malignant Duodenal GIST in a Patient with Situs Inversus Totalis—a Rare Association and Brief Review of Literature. Journal of Gastrointestinal Cancer. 2017 Jun 1:1-4.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88549
Program Number: V199
Presentation Session: Wednesday Video Loop (Non CME)
Presentation Type: VideoLoop