Anesthetic management of a geriatric patient with situs inversus totalis with bilateral varicose veins for left-sided Trendelenburg’s operation with bilateral superficial ligation of perforators
Journal Title: International Journal of Medical Science and Public Health - Year 2016, Vol 5, Issue 2
Abstract
Situs inversus is featured by the switching of the organs to the opposite side of the body. When associated with dextro - cardia, it is known as situs inversus totalis. This disease is a uncommon congenital anomaly and can lead to a diagnostic misperception for surgeons because of infrequent location of symptoms resulting in late diagnosis of known pathologies and operative complications because of changed anatomy. Varicose veins of leg, although being commonly reported, to be diagnosed specially in elderly can be notorious if associated with its complications such as ulcers, bleeding, and so on, and when associated with underlying medical illness. We report a rare case where these conditions coexisted. A 62-year- old woman presented with swelling in bilateral lower limbs with pain on walking with hypertension, type-2diabetes mellitus, and situs inversus totalis electively posted for left-sided Trendelenburg’s operation with bilateral superficial ligation of perforators, which we managed successfully under sole epidural anesthesia.
Authors and Affiliations
Prajwal Patel HS, Darpan Dutta, Purohit Kunal, Amit Gandhi, Maha lakshmi
Keywords
Related Articles
- EP ID EP128122
- DOI 10.5455/ijmsph.2016.1407201557
- Views 78
- Downloads 0
A study of the effects of HIV infection and ART treatment on the serum lipid profile of HIV/AIDS patients attending the Nylon District Hospital, Douala, Cameroon
Background: Antiretroviral therapy (ART) has been shown to substantially reduce morbidity and mortality in human immunodeficiency virus (HIV) seropositive patients. However, long-term management of patients on ART ma...
Multidrug-resistant tubercular cold abscess: a rare form of extrapulmonary MDR-TB
Although prevalence of drug-resistant pulmonary tuberculosis is increasing globally, only a few cases of drug-resistant extrapulmonary tuberculosis have been reported globally so far. Tubercular cold abscess is a form...
Accuracy of diagnosis of eye diseases referred by primary health-care physicians in Jeddah City, Saudi Arabia
Proper clinical approach of primary health-care (PHC) physicians is very important for proper diagnosis and management of ophthalmic diseases. Inaccurate diagnosis leads to unnecessary r...
Assessment of cognitive levels after short duration of slow deep breathing by Raven’s Standard Progressive Matrices
Background: Female foeticide is a practice that involves the detection of the sex of the unborn baby in the womb of the mother and the decision to abort it if the sex of the child is detected as a girl. Such foetu...
Role of magnetic resonance imaging in evaluation of spinal paraparesis
Background: There may be various causative factors for the spinal paraparesis. Magnetic resonance imaging (MRI) is considered very useful for differential diagnosis. Objective: To check the usefulness of MRI imag...