Article Text

Download PDFPDF
Laparoscopic sleeve gastrectomy in a patient with situs inversus totalis and Kartagener syndrome: an unusual surgical conundrum
  1. Angela Burvill1,
  2. Ruth Blackham2,3 and
  3. Jeffrey Hamdorf2,3
  1. 1 Medical School, University of Western Australia, Crawley, Western Australia, Australia
  2. 2 School of Surgery, University of Western Australia, Crawley, Western Australia, Australia
  3. 3 Hollywood Private Hospital, Western Surgical Health, Nedlands, Western Australia, Australia
  1. Correspondence to Miss Angela Burvill, 21486025{at}


Kartagener syndrome is a rare autosomal recessive condition. Approximately 25% of those with situs inversus totalis suffer the syndrome. With the rising overall number and indications for bariatric surgery, this condition will be increasingly recognised. We present a case of a 25-year-old woman with SIT and Kartagener syndrome who underwent a laparoscopic sleeve gastrectomy. As with all bariatric surgery, a multidisciplinary team approach was important in managing such a case. There were considerable cognitive challenges for the surgical team both preoperatively and during the procedure. The patient tolerated the operation well and was discharged 2 days after the surgery. At 12-months follow-up, the patient had achieved 125% excess weight loss. This case illustrates that an experienced surgeon can safely perform a laparoscopic sleeve gastrectomy on a patient with situs inversus totalis.

  • general surgery
  • cardiovascular medicine
View Full Text

Statistics from


  • Contributors AB drafted the case report. RB revised the case report. JH edited the final draft of the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.