Abstract
Situs inversus totalis is a rare congenital anomaly characterized by an inversion of the arrangement of thoracic and abdominal organs. Although many patients are asymptomatic, they can develop surgically treatable conditions such as cholecystitis. This case describes a patient with symptomatic gallstone disease who underwent laparoscopic cholecystectomy. Anatomical challenges, surgical techniques, and strategies to prevent complications are highlighted. Accurate identification of structures and meticulous preoperative planning were key to the procedure’s success.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Revista Cirugía Paraguaya