janardhan.nagaiahgari@gmail.com

ERCP in Situs Inversus Totalis: A Case Series of Three Patients from a Tertiary Care Center

1. Abstract 1.1. Background Situs inversus totalis (SIT) is a rare congenital anomaly characterized by mirror-image anatomy, posing challenges during endoscopic retrograde cholangiopancreatography (ERCP). Literature on ERCP in SIT is limited to sporadic case reports and small series. We report three cases of ERCP in SIT with emphasis on technical modifications, positioning, safety, and outcomes.