Rajabu Athumani Bakari, Alfred Chibwae, Brian Kimanthi, Tariq Aziz, Georvin Marco Haule, Novath Ngowi, Ally Hamisi Mwanga, Zaitun M Bokhary
Biliary atresia associated with situs inversus abdominalis is a rare congenital combination that complicates diagnosis and surgical orientation. Early recognition, meticulous preoperative planning, and timely Kasai portoenterostomy can achieve favorable short-term outcomes. Surgeons should consider anatomical variations to optimize operative safety and improve biliary drainage and prognosis.