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.
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