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CASE REPORT
Year : 2014  |  Volume : 4  |  Issue : 3  |  Page : 180-182

Laparoscopic cholecystectomy in situs ambiguous


1 Department of Surgery, Government Medical College, Patiala, Punjab, India
2 Department of Radiodiagnosis, Government Medical College, Patiala, Punjab, India

Correspondence Address:
Dr. Anoop Varma
Room no 56, Doctors PG Hostel, Rajendra Hospital, Government Medical College, Patiala - 147 001, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.146438

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A twenty seven year old female patient presented to the hospital with recurrent pain in the right hypochondrium of five years duration. She had a history of failed cholecystectomy four years back. A CT and MRI scan, revealed splenenculi, midline liver, cholelithiasis, truncated pancreas and dextrocardia. These symptoms were attributed to the calculous cholecystitis. Laparoscopic cholecystectomy was done and patient recovered uneventfully. Here we are presenting the first instance of successful laparoscopic cholecystectomy in a patient with heterotaxy syndrome, as it is a unique challenge for operating surgeons. The purpose of this report is to encourage further research to establish a protocol for the management of these patients with a rare congenital anomaly. This will help us establish a protocol for such patients so as to minimize complications intra operatively.


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