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.[1] 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.
[1] 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