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 UNUSUAL CASE
Year : 2018  |  Volume : 14  |  Issue : 3  |  Page : 241-243

Laparoscopic cholecystectomy with choledochoduodenostomy in a patient with situs inversus totalis


Department of General Surgery, Seth G S Medical College and King Edward VII Memorial Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Abhay N Dalvi
257 Walkeshwar Road, Mumbai - 400 006, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_122_17

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A 50-year-old female presented to us with features of obstructive jaundice. Investigations revealed cholelithiasis with single large impacted calculus in the common bile duct (CBD) and significant dilatation of extrahepatic biliary tree. Incidentally, the patient was also detected to have situs inversus totalis (SIT). Attempt at extraction of the calculus in the CBD by endoscopic retrograde cholangiography failed, and a 7F stent was placed. The patient was subjected to laparoscopic cholecystectomy, CBD exploration with the extraction of the offending calculus and laparoscopic choledochoduodenostomy (LCDD). The patient had an uneventful recovery and is since discharged. PubMed search did not reveal LCDD in SIT as a procedure reported in literature to the best of our knowledge.






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