PT  - JOURNAL ARTICLE
AU  - Angela Burvill
AU  - Ruth Blackham
AU  - Jeffrey Hamdorf
TI  - Laparoscopic sleeve gastrectomy in a patient with <em>situs inversus totalis</em> and Kartagener syndrome: an unusual surgical conundrum
AID  - 10.1136/bcr-2019-229550
DP  - 2019 Jul 01
TA  - BMJ Case Reports
PG  - e229550
VI  - 12
IP  - 7
4099  - http://casereports.bmj.com/content/12/7/e229550.short
4100  - http://casereports.bmj.com/content/12/7/e229550.full
SO  - BMJ Case Reports2019 Jul 01; 12
AB  - 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.