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

Shuka Arai, Masao Nunomura, Katsuhiko Ando, Kenji Oda, Masayuki Shiobara, Gyokusen Sai, Takashi Mishima, Hiromi Sarashina, Hitoshi Kubosawa¹⁾ and Masaru Miyazaki²⁾

Division of Surgery and Division of Pathology¹⁾, Chiba Aoba Municipal Hospital
Department of General Surgery, Graduate School of Medicine, Chiba University²⁾

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.

Key words
situs inversus totalis, xanthogranulomatous cholecystitis, laparoscopic cholecystectomy

Reprint requests
Shuka Arai Division of Surgery, Chiba Aoba Municipal Hospital
1273-2 Aoba-cho, Chuo-ku, Chiba-city, 260-0852 JAPAN

Accepted
May 19, 2010

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