Laparoscopic Partial Nephrectomy for Multiple Masses in Situs Inversus Totalis

Abstract

We report the case of a patient who was admitted to the emergency department of our hospital with acute left upper quadrant abdominal pain. Computed tomography revealed perforated cholecystitis and two synchronous incidental solid mass lesions in the right kidney. The patient had situs inversus totalis anomaly. The patient was evaluated by a multidisciplinary board, and simultaneous laparoscopic cholecystectomy and laparoscopic partial nephrectomy (LPN) were planned 3 months after cholecystostomy and antibiotic therapy. After uneventful laparoscopic cholecystectomy, synchronous renal masses were successfully treated with LPN. To the best of our knowledge, this is the first case report in the literature concomitant two synchronous renal masses with situs inversus totalis, which were treated with LPN.