Revista de Anestesiologia Clínica: Acesso Aberto

Situs Inversus Totalis and Anesthesia: Challenging aspects

Abstract

Ruma Thakuria and Ajay Singh

Situs Inversus is a congenital anomaly where most of the internal organs are located in a reverse position. The mirrored position of the visceral organs along with dextrocardia is known as situs inversus totalis. These patients may not present for the co-existing anomalies but can present with common abdominal pathology where diagnosis plays a vital role. In a patient with situs inversus totalis, not only the diagnosis of any abdominal pathology can be difficult due to the reversed position of the thoraco-abdominal organs but also the anesthetic management becomes challenging. Herein we present the challenging aspects of anesthesia in a young female with situs inversus totalis with symptomatic cholelithiasis for cholecystectomy.