Laparoscopic Cholecystectomy in a Patient with Xanthogranuromatous Cholecystitis and Situs Inversus Totalis

Abstract

A 71-year-old woman seen for unusual weight loss and diagnosed with a gall bladder tumor and situs inversus totalis (SIT) was found in ultrasonography, computed tomography, magnetic resonance cholangiopancreatography, and abdominal magnetic resonance imaging to have xanthogranulomatous cholecystitis (XGC) and SIT. Laparoscopic cholecystectomy (LC) was conducted with trocars inserted opposite to the conventional arrangement and surgery conducted double-handed. Surgery lasted 134 minutes and was completed without complications safely and easily. The patient was discharged on postoperative day 6. This is, to our knowledge, the first case report in Japan of LC for XGC in a subject with SIT.