Anaesthetic implications in situs inversus totalis: a case report

Authors

  • Faraz Mansoor Department of Anaesthesia, Shaukat Khanum Memorial Cancer Hospital and Research Center, Peshawar, Pakistan
  • Fatima Imran Qazalbash Department of Anaesthesia, Shaukat Khanum Memorial Cancer Hospital and Research Center, Peshawar, Pakistan
  • Qazi Tauseef Ahmad Department of Anaesthesia, Shaukat Khanum Memorial Cancer Hospital and Research Center, Peshawar, Pakistan

DOI:

https://doi.org/10.47391/JPMA.11122

Keywords:

Situs inversus totalis, Anaesthesia, Kartagener's syndrome, Dextrocardia

Abstract

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 pre-operative evaluation, monitoring techniques and potential complications.

Keywords: Situs inversus totalis, Anaesthesia, Kartagener's syndrome, Dextrocardia.

Published

2024-07-25

How to Cite

Mansoor, F., Qazalbash, F. I., & Ahmad, Q. T. (2024). Anaesthetic implications in situs inversus totalis: a case report. Journal of the Pakistan Medical Association, 74(8), 1530–1532. https://doi.org/10.47391/JPMA.11122

Issue

Section

CASE REPORT