Endoscopic Nasogallbladder Drainage for Acute Cholecystitis in a Patient With Situs Inversus Totalis: A Case Report
- 1Department of Gastroenterology Ise Red Cross Hospital 1-471-2 Funae Ise 516-8512 Mie Japan jrc.or.jp
- 2Department of Gastroenterology and Hepatology Mie University Graduate School of Medicine 2-174 Edobashi Tsu 514-8507 Mie Japan mie-u.ac.jp
Abstract
Situs inversus totalis (SIT) is a rare congenital condition characterized by complete mirror‐image transposition of the thoracic and abdominal organs. Endoscopic transpapillary gallbladder drainage (ETGBD) can be technically challenging in patients with SIT, and, to our knowledge, has not previously been reported in this anatomical setting. We report a case of successful endoscopic nasogallbladder drainage (ENGBD) for acute cholecystitis in a patient with SIT. A 72‐year‐old man with SIT presented with fever and left hypochondrial pain. Computed tomography revealed acute calculous cholecystitis and a common bile duct stone. After removal of the common bile duct stone by endoscopic retrograde cholangiopancreatography, a guidewire was advanced across the obstructed segment of the cystic duct into the gallbladder, and a 6‐Fr ENGBD tube was successfully placed. The patient improved after drainage and subsequently underwent elective laparoscopic cholecystectomy. This case suggests that ETGBD, including ENGBD, may be feasible in patients with SIT when a stable papillary view and guidewire access to the gallbladder can be achieved.
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BibTeX
@article{murabayashi2026endoscopic,
title = {{Endoscopic Nasogallbladder Drainage for Acute Cholecystitis in a Patient With Situs Inversus Totalis: A Case Report}},
author = {Toji Murabayashi and Mayu Kawabata and Shinya Sugimoto},
journal = {Case Reports in Gastrointestinal Medicine},
year = {2026},
month = oct,
doi = {10.1155/crgm/3485630},
url = {https://doi.org/10.1155/crgm/3485630},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Endoscopic Nasogallbladder Drainage for Acute Cholecystitis in a Patient With Situs Inversus Totalis: A Case Report
AU - Toji Murabayashi
AU - Mayu Kawabata
AU - Shinya Sugimoto
PY - 2026
DA - 2026/10/26
JO - Case Reports in Gastrointestinal Medicine
DO - 10.1155/crgm/3485630
UR - https://doi.org/10.1155/crgm/3485630
AB - Situs inversus totalis (SIT) is a rare congenital condition characterized by complete mirror‐image transposition of the thoracic and abdominal organs. Endoscopic transpapillary gallbladder drainage (ETGBD) can be technically challenging in patients with SIT, and, to our knowledge, has not previously been reported in this anatomical setting. We report a case of successful endoscopic nasogallbladder drainage (ENGBD) for acute cholecystitis in a patient with SIT. A 72‐year‐old man with SIT presented with fever and left hypochondrial pain. Computed tomography revealed acute calculous cholecystitis and a common bile duct stone. After removal of the common bile duct stone by endoscopic retrograde cholangiopancreatography, a guidewire was advanced across the obstructed segment of the cystic duct into the gallbladder, and a 6‐Fr ENGBD tube was successfully placed. The patient improved after drainage and subsequently underwent elective laparoscopic cholecystectomy. This case suggests that ETGBD, including ENGBD, may be feasible in patients with SIT when a stable papillary view and guidewire access to the gallbladder can be achieved.
SN - 2090-6528
SN - 2090-6536
ER -