Management of gallbladder empyema in a patient with situs inversus, levocardia and morbid obesity: a case report
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Abstract
Situs Inversus with levocardia is an unusual condition, in which the main organs of the thorax and abdomen are located in a reverse or enantiomorphic position in relation to the usual topography. It is estimated a prevalence of 1:10000 people with some Situs Inversus condition, but Situs Inversus with Levocardia is reported in only 1:22000 cases. The presence of acute cholecystitis in patients is an extremely rare event,however, one of its possible complications, Gallbladder Empyema can develop, causing an increase in severity and the need for surgical intervention. Since the inversion of abdominal organs proper to Situs Inversus with levocardia is commonly associated with the transposition of great vessels, fatally, as described in the literature of Vesicle empyema and Situs Inversus, it only occurred in patients with dextrocardia, not yet being reported in patients with Levocardia. We report a case of a female patient with pain in the left hypochondrium with Situs Inversus Viscerum, Levocardia, Empyema of Biliary Vesicles and Morbid Obesity.
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References
Walker C, Hankin M, Nelsen S. An Unusual Case of Levocardia with Situs Inversus. FASEB Journal.2019;33:616.22.616.22.https://doi.org/10.1096/fasebj.2019.33.1_supplement.616.22.
Venu RP, Geenen JE, Hogan WJ, Johnson GK, Taylor AJ, Stewart ET, Jackson A. ERCP and endoscopic sphincterotomy in patients with situs inversus. Gastrointest Endosc. 1985 Oct;31(5):338-40. doi: 10.1016/s0016-5107(85)72220-1.
Watanabe M, Ueki K, Okinaga Y, Umekawa Y, Hidaka M, Hirakawa H, Fukumoto S, Shimada Y. Laparoscopy of situs inversus totalis. Endoscopy. 1989 Nov;21(6):293-4. doi: 10.1055/s-2007-1010725.
Žatecký J, Hájek J, Ihnát P. Laparoscopic cholecystectomy in patient with situs viscerum inversus totalis and gallbladder empyema - a case report. Rozhl Chir. 2018 Summer;97(10):469-472.
Goh P, Tekant Y, Shang NS, Ngoi SS. Laparoscopic cholecystectomy in a patient with empyema of the gallbladder and situs inversus. Endoscopy. 1992 Nov;24(9):799-800. doi: 10.1055/s-2007-1010589.
Salama IA, Abdullah MH, Houseni M. Laparoscopic cholecystectomy in situs inversus totalis: Feasibility and review of literature. Int J Surg Case Rep. 2013;4(8):711-5. doi: 10.1016/j.ijscr.2013.02.030.
Lochman P, Hoffmann P, Kočí J. Elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis. Wideochir Inne Tech Maloinwazyjne. 2012 Aug;7(3):216-9. doi: 10.5114/wiitm.2011.26842.
Kumar S, Fusai G. Laparoscopic cholecystectomy in situs inversus totalis with left-sided gall bladder. Ann R Coll Surg Engl. 2007 Mar;89(2):W16-8. doi: 10.1308/147870807X160461.
Iusco DR, Sacco S, Ismail I, Bonomi S, Virzì S. Three-trocar laparoscopic cholecystectomy in patient with situs viscerum inversus totalis: case report and review of the literature. G Chir. 2012 Jan-Feb;33(1-2):10-3.