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CASE REPORT
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}student.uwa.edu.au

Abstract

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
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Footnotes

  • 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.

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