# A Case Report of Laparoscopic Cholecystectomy in an Obese Patient With Situs Inversus Totalis

## TL;DR

This paper reports a successful laparoscopic cholecystectomy in an obese patient with a rare condition where internal organs are mirrored.

## Contribution

The case demonstrates the feasibility of laparoscopic cholecystectomy in obese patients with situs inversus totalis.

## Key findings

- Laparoscopic cholecystectomy was safely performed using a mirror-image port placement.
- The patient had an uneventful postoperative recovery.
- The procedure is viable for patients with both obesity and situs inversus totalis.

## Abstract

Situs inversus totalis (SIT) is a rare congenital condition characterized by a complete mirror-image arrangement of the visceral organs. We report a laparoscopic cholecystectomy performed on an obese patient with a body mass index (BMI) over 30 kg/m² and SIT. An 80-year-old female patient with SIT and a BMI of 30.1 kg/m² was diagnosed with cholecystolithiasis. Laparoscopic cholecystectomy was performed using a mirror-image port placement relative to the standard configuration. The postoperative course was uneventful. Laparoscopic cholecystectomy can be safely performed in patients with SIT, even in those with obesity, defined as a BMI greater than 30 kg/m².