Anaesthetic implications in situs inversus totalis: A case report

Situs inversus totalis (SIT) is a rare congenital condition which is characterised by the reversal of orientation of abdominal and thoracic organs where heart is on the right side of the thoracic cavity and liver on the left side, whereas stomach and spleen are on the right side in the abdomen. The...

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Bibliographic Details
Published in:Journal of the Pakistan Medical Association 2024-08, Vol.74 (8), p.1530-1532
Main Authors: Mansoor, Faraz, Qazalbash, Fatima Imran, Ahmad, Qazi Tauseef
Format: Article
Language:English
Subjects:
Adenocarcinoma - complications
Adenocarcinoma - surgery
Adult
Anesthetics
Care and treatment
Colon cancer
Colonic Neoplasms - complications
Colonic Neoplasms - surgery
Diagnosis
Dosage and administration
Hernia
Humans
Laparoscopy - methods
Male
Physiological aspects
Situs inversus
Situs Inversus - complications
Situs Inversus - surgery
Surgery
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Summary:Situs inversus totalis (SIT) is a rare congenital condition which is characterised by the reversal of orientation of abdominal and thoracic organs where heart is on the right side of the thoracic cavity and liver on the left side, whereas stomach and spleen are on the right side in the abdomen. The reported prevalence of this anomaly is one in 5,000- 20,000 live births. This case reports the anaesthetic management of situs inversus totalis in a 38-year-old male patient, with a history of poorly differentiated adenocarcinoma of the colon, who underwent laparoscopic intervention converted to open nodular excision with incisional hernia repair. The report analyses the anaesthetic implications and challenges associated with situs inversus totalis during surgery, including preoperative evaluation, monitoring techniques and potential complications.
ISSN:0030-9982
0030-9982
DOI:10.47391/JPMA.11122