A patient with Situs Inversus Totalis who underwent Laparoscopic Sleeve Gastrectomy: a case report

Abstract

Abstract Introduction Obesity is associated with several preventable health issues, such as diabetes mellitus and hypertension. Bariatric surgery has shown potential treating obesity. Laparoscopic sleeve gastrectomy (LSG) is one of the several bariatric surgical techniques that is gaining popularity as primary bariatric surgery. Situs Inversus Totalis (SIT) is an uncommon hereditary abnormality that can make laparoscopic surgery challenging due to the anatomy's mirror-image aspect. Case report We present the case of a 54-year-old female, BMI was 54.36 kg/m2. She was diagnosed with Situs Inversus Totalis, with no other known diseases, drug intake, or allergies. We performed a conventional laparoscopic gastric sleeve modifying the original trocar ports positions like a mirror to match the anatomy. Conclusion Laparoscopic gastric sleeve is a safe and effective procedure for patients with Situs Inversus Totalis. Preoperative diagnosis can help lower the risk of complications by having a proper surgical plan.