Situs inversus and bariatric surgery: A challenge for the surgical team

Juan F Zavalza; Gabriel A Molina; Omar A Paipilla; Miriam Gil; Karla Rosales

doi:10.1016/j.amsu.2021.102972

Situs inversus and bariatric surgery: A challenge for the surgical team

Ann Med Surg (Lond). 2021 Nov 1:72:102972. doi: 10.1016/j.amsu.2021.102972. eCollection 2021 Dec.

Authors

Juan F Zavalza¹, Gabriel A Molina¹, Omar A Paipilla¹, Miriam Gil¹, Karla Rosales¹

Affiliation

¹ Hospital Ciba, Tijuana, Mexico.

Abstract

Introduction and importance: Obesity is a worldwide pandemic and is closely associated with an increased risk of comorbidities and overall mortality. Surgery has emerged as an essential strategy to ameliorate obesity-attributable comorbidities and as a powerful weight-loss tool. Due to the increasing number of obese patients predicted to elect surgery, individuals with rare anomalies such as situs inversus can be expected.

Case presentation: We present the case of a 49-year-old woman with situs inversus with levocardia. She had a high BMI and was admitted for bariatric surgery. After several adjustments to our technique, the procedure was completed without complications.

Clinical discussion: Laparoscopic bariatric surgeries are highly demanding; variations from the normal anatomy could challenge the medical team.

Conclusion: Preoperative diagnosis and highly trained surgeons is of paramount importance to adequately treat every patient.

Keywords: Bariatric surgery; Situs inversus; Sleeve gastrectomy.

Publication types

Case Reports