Acute Necrotising Pancreatitis in a Patient with Situs Inversus Totalis-A Rare Case Report

Situs inversus totalis is a rare congenital anomaly occurring in one per 4000-20000 live births. It can present in early life due to gut rotation abnormality, however majority of them are asymptomatic and identified later in life when they undergo imaging for other reasons. Although acute pancreatitis is a common disease in young adults, presence of situs inversus alters the approach for necrosectomy when it is necessary. The author reports a 29-year-old male patient who had acute necrotising pancreatitis and incidentally found to have situs inversus totalis. Since the patient required drainage of necrotic collection there was a change in approach to right flank region rather than the routine left flank. This case was reported to emphasise on identification of situs anomalies and need to alter surgical approach.