RT Journal Article SR Electronic T1 Laparoscopic sleeve gastrectomy in a patient with situs inversus totalis and Kartagener syndrome: an unusual surgical conundrum JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e229550 DO 10.1136/bcr-2019-229550 VO 12 IS 7 A1 Angela Burvill A1 Ruth Blackham A1 Jeffrey Hamdorf YR 2019 UL http://casereports.bmj.com/content/12/7/e229550.abstract 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.