[Case report: laparoscopic cholecystectomy and common bile duct exploration in a 60 year-old patient with situs inversus]. / Colecistectomía con exploración de vías biliares laparoscópica en un paciente de 60 años con situs inversus; informe de un caso.

This is a case report of a 60 year-old male patient with acute cholecystitis and jaundice, unaware of having situs inversus. Patient underwent successfully laparoscopic cholecystectomy with bile duct exploration in spite of the unusual clinical situation. A literature review using Pubmed database, since 1989, in Spanish and English literature was performed. We found only two reports of cholecystectomy and common bile duct exploration in patients with situs inversus. This is the first case reported in our country.

[Giant colonic diverticulum. Report of a case and review of the literature]. / Divertículo colónico gigante. Informe de un caso y revisión de la bibliografía.

We report about a 67 year-old male patient with a giant colonic diverticulum and multiple comorbid conditions. The unusual clinical presentation and high surgical risk in this case required challenging therapeutic decisions that eventually lead to a left colon resection and complementary surgical procedures, despite the patient had been considered non-surgical candidate by two surgical teams before. A literature review from the last ten years was performed using Medline and Pubmed databases, looking for "giant colonic diverticulum". We found 43 case reports, one case series and one review article including 135 patients. Discussion is based on the information obtained from the literature review and the particular aspects of this interesting case.