{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T14:28:34Z","timestamp":1764599314394,"version":"3.46.0"},"reference-count":12,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"\n Background<\/jats:title>\n Congenital visceral heterotaxy (CVH) is a rare congenital anomaly characterized by the abnormal arrangement (malposition) of thoracic and abdominal organs. This condition can significantly complicate surgical planning and intraoperative management, particularly when a history of prior abdominal surgery is present and laparoscopic intervention is required. The limited literature on managing such cases underscores the necessity for meticulous preoperative planning and intraoperative adaptability.<\/jats:p>\n <\/jats:sec>\n \n Case summary<\/jats:title>\n A 42-year-old Chinese woman with congenital visceral heterotaxy and a history of cesarean section 11 years prior was admitted with acute suppurative appendicitis. Preoperative imaging, including ultrasound and CT, confirmed the diagnosis and revealed severe intra-abdominal adhesions. The patient underwent a laparoscopic appendectomy under general anesthesia. During the procedure, adhesions\u2014likely stemming from the prior cesarean section\u2014significantly impeded visualization and access to the appendix. Despite these challenges, the appendectomy was completed successfully without complications. The patient's postoperative recovery was uneventful, and she was discharged on the third postoperative day.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This report highlights the successful management of a complex case involving a patient with both congenital visceral heterotaxy and severe intra-abdominal adhesions. It demonstrates that laparoscopic surgery is a feasible and safe option in such challenging scenarios, emphasizing the critical importance of meticulous preoperative planning, intraoperative adaptability, and a patient-tailored surgical approach. This case contributes to the sparse literature on laparoscopic surgery in patients with CVH and a history of abdominal surgery, offering valuable insights for surgeons facing similar complex presentations.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1702385","type":"journal-article","created":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T14:24:32Z","timestamp":1764599072000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Laparoscopic appendectomy in a patient with congenital visceral heterotaxy and severe adhesions"],"prefix":"10.3389","volume":"12","author":[{"given":"Dake","family":"Liu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinying","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weibo","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1052","DOI":"10.1007\/s00246-010-9764-z","article-title":"Heterotaxy syndrome: defining contemporary disease trends","volume":"31","author":"Prendiville","year":"2010","journal-title":"Pediatr Cardiol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1414","DOI":"10.1007\/s00246-020-02402-2","article-title":"The spectrum of cardiac anomalies associated with heterotaxy: a single-center study of a large series based on computed tomography","volume":"41","author":"Kiran","year":"2020","journal-title":"Pediatr Cardiol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2437","DOI":"10.2147\/IJGM.S295444","article-title":"Situs inversus totalis: a clinical review","volume":"15","author":"Eitler","year":"2022","journal-title":"Int J Gen Med"},{"key":"B4","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1186\/s13023-022-02515-2","article-title":"A multi-disciplinary, comprehensive approach to management of children with heterotaxy","volume":"17","author":"Saba","year":"2022","journal-title":"Orphanet J Rare Dis"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e24512","DOI":"10.7759\/cureus.24512","article-title":"Laparoscopic appendectomy using the surgical-glove port through an umbilical incision: a single-center retrospective study","volume":"14","author":"Que Son","year":"2022","journal-title":"Cureus"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1483878","DOI":"10.3389\/fonc.2025.1483878","article-title":"Role of transumbilical laparoendoscopic single-site surgery in the implementation ERAS in gynecology oncology: a retrospective study","volume":"15","author":"Li","year":"2025","journal-title":"Front Oncol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1186\/s12871-022-01784-5","article-title":"Validation of the Dutch translation of the quality of recovery-15 scale","volume":"22","author":"de Vlieger","year":"2022","journal-title":"BMC Anesthesiol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1159\/000075136","article-title":"Congenital visceral malformations: role of perinatal autopsy in diagnosis","volume":"19","author":"Mohan","year":"2004","journal-title":"Fetal Diagn Ther"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1365","DOI":"10.1007\/s10029-024-03055-3","article-title":"Tailored treatment of female indirect inguinal hernias by using single-port laparoscopic percutaneous internal ring suture: a comparison between children and adults","volume":"28","author":"Wang","year":"2024","journal-title":"Hernia"},{"key":"B10","doi-asserted-by":"publisher","first-page":"25","DOI":"10.70352\/scrj.cr.25-0608","article-title":"Laparoscopic common bile duct exploration for choledocholithiasis in a patient with situs inversus totalis and prior total gastrectomy with Roux-en-Y reconstruction: a case report","volume":"11","author":"Nagata","year":"2025","journal-title":"Surg Case Rep"},{"key":"B11","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1186\/s13256-024-04903-7","article-title":"Rectal cancer with situs inversus totalis and previous malignant middle cerebral artery infarction: a case report and review of the literature","volume":"18","author":"Song","year":"2024","journal-title":"J Med Case Rep"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e169","DOI":"10.1308\/rcsann.2019.0102","article-title":"Acute cholecystitis in a patient with heterotaxic anatomy and partial situs inversus","volume":"101","author":"Sheik-Ali","year":"2019","journal-title":"Ann R Coll Surg Engl"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1702385\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T14:24:36Z","timestamp":1764599076000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1702385\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,1]]},"references-count":12,"alternative-id":["10.3389\/fsurg.2025.1702385"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1702385","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,1]]},"article-number":"1702385"}}