Abstract

d a m t g w i 2 m t o F w Situs ambiguous or heterotaxia, with polysplenia (leftsided isomerism), is a rare anomaly of organ arrangement.1 It is estimated to occur in about 4 per 1 million live births. Most affected persons die by the age of 5 years, mainly because of cardiac anomalies.2 Today, we have various surgical and endoscopic options for weight reduction in morbidly obese patients. Various surgeries in patients with situs inversus have been reported.3,4 We report this case for its extremely rare ocurrence and to emphasize the role of endoscopic balloon lacement as a bridge toward definitive bariatric surgical anagement in difficult cases of morbid obesity in which he laparoscopic approach remains challenging.

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