Laparoscopic cholecystectomy is the standard treatment for cholelithiasis. The first known report on laparoscopic cholecystectomy in a patient with situs inversus totalis (SIT) was in 1991 by Campos and Sipes [1]. We are reporting a rare case of symptomatic Cholelithiasis with which was operated successfully with laparoscopic cholecystectomy.

A frail 84-year old lady with situs inversus totalis and symptomatic aortic stenosis underwent a successful transcatheter aortic valve implantation (TAVI) after extensive diagnostic work-up. We show illustrative pre- and postintervention three-dimensional reconstruction imaging and describe how conventional and dedicated imaging software can support the planning and performance of TAVI.

Situs inversus totalis with dextrocardia is rare and presentation with coronary artery disease in the ninth decade of life is even rarer. Here we describe a case where a patient underwent coronary stenting and subsequently coronary bypass surgery for the same.

Situs inversus totalis is a rare entity with complete transposition of all viscera, making endoscopic, radiological, and surgical procedures challenging and complicated. Endoscopic retrograde cholangiopancreatography (ERCP) is the main treatment modality in patients with extrahepatic malignant biliary obstruction [1,2], but in patients with situs inversus totalis, this presents a technical chal...

Pulmonary vein isolation (PVI) with cavotricuspid isthmus (CTI) ablation is feasible in patients with situs inversus totalis. Orientation challenges are improved with the use of electroanatomical mapping prior to transseptal puncture. Care must be taken to note the opposing anatomic locations of important structures such as the left atrial appendage, descending aorta, and phrenic nerve.

We present the case of a 53-year-old lady with acute gallstone pancreatitis and situs inversus totalis, who underwent emergency laparoscopic cholecystectomy. We describe our operative approach for this challenging anatomy and discuss the advantages our particular technique confers with reference to the current literature.

Dextrocardia with situs inversus totalis is a rare disorder but is frequently associated with anomalous venous return. Pacemaker/Internal Cardioverter Defibrillator implantation in this population can be difficult given the difficult venous anatomy. This case illustrates how beforehand knowledge of the venous anatomy by cardiac MRI can facilitate device implantation.

Situs inversus totalis is a rare congenital abnormality with mirror symmetry of mediastinal and abdominal organs. Immune thrombocytopenic purpura is an autoimmune disease with destruction of thrombocytes. This paper is presentation of surgical approach to a case with coexistence of these two conditions.

Kartagener's syndrome is a combination of situs inversus totalis, sinusitis and bronchiectasis. Left sided appendicitis can present with problems in diagnosis and during surgery. We present here a case of Kartagener's syndrome and left sided appendicitis successfully managed in a peripheral hospital in Bahawalnagar, Pakistan.

We report our experience of two patients suffering from severe coronary artery disease and situs inversus totalis with dextrocardia. The surgeon, standing on the right side of the patients, performed coronary artery bypass grafting by harvesting the right internal mammary artery in lieu of the left one.