Acute cholecystitis in a situs inversus totalis. Case report.

INTRODUCTION: Situs inversus totalis (SIT) is an autosomal recessive congenital disorder. Acute cholecystitis is a diagnosis challenge in patients with SIT.

CLINICAL CASE: A 26-year-old female who presented with atypical gallbladder colic. Assessed by Surgery, concluding diagnosis of acute cholecystitis and SIT. Laparoscopic cholecystectomy was performed.

DISCUSSION: SIT is a rare congenital pathology, defined by the transposition of thoracic and abdominal viscera. Most patients are asymptomatic and they're discovered incidentally. The SIT goes far beyond the paradigm of treatments and surgical techniques.

CONCLUSIONS: The pathology turns into a behavior modification for surgical treatment, however, it is possible to carry them out successful procedure.