Nigerian Journal of Surgery

CASE REPORT
Year
: 2020  |  Volume : 26  |  Issue : 1  |  Page : 72--77

Situs ambiguous anomaly during laparoscopic cholecystectomy in an adult female


Brij Mohan Joshi1, Sumitoj Singh1, Ashok Kumar1, Mandeep Singh Sandhu1, Deepak Rana2 
1 Department of General Surgery, Government Medical College, Amritsar, Punjab, India
2 Department Radiology, Government Medical College, Amritsar, Punjab, India

Correspondence Address:
Dr. Sumitoj Singh
C-12 Medical College Campus, Amritsar, Punjab
India

Situs anomalies are rare structural defects affecting 0.01% of general population. They present with multisystem structural defects mostly involving cardiovascular, respiratory and GI systems. Situs abnormality with presence of multiple spleen is termed as left atrial isomerism with anatomical and structural differences to its countertype situs ambiguous with asplenia (right atrial isomerism). In this case report, we present an adult case of situs ambiguous anomaly which was diagnosed incidentally during laparoscopic cholecystectomy. The patient had enlarged left lobe of liver, multiple splenules on right side, malrotated small and large gut, interrupted inferior vena cava with azygos continuation, and bilateral bilobed lungs. It is concluded that variations in situs ambiguous cases differ and a single description is not possible. It is crucial to reveal these variations by using imaging modalities and being aware of them prior to surgery and invasive intervention to prevents the possible risks and complications.


How to cite this article:
Joshi BM, Singh S, Kumar A, Sandhu MS, Rana D. Situs ambiguous anomaly during laparoscopic cholecystectomy in an adult female.Niger J Surg 2020;26:72-77


How to cite this URL:
Joshi BM, Singh S, Kumar A, Sandhu MS, Rana D. Situs ambiguous anomaly during laparoscopic cholecystectomy in an adult female. Niger J Surg [serial online] 2020 [cited 2020 Apr 9 ];26:72-77
Available from: http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2020;volume=26;issue=1;spage=72;epage=77;aulast=Joshi;type=0