ANESTHETIC MANAGEMENT OF A PATIENT WITH SITUS INVERSUS POSTED FOR LAPAROSCOPIC CHOLECYSTECTOMY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 14
Abstract
Situs inversus totalis is a congenital visceral malrotation anomaly that results from disturbances in establishment of left-right asymmetry and it is characterized by total transposition of thoracic and abdominal viscera, and the predicted incidence is one in 10, 000 among the general population. In a patient with situs inversus totalis, not just the diagnosis of any acute abdomen pathology is difficult but equally challenging is the anesthetic management during the respective surgical procedure. We are reporting a patient who had situs inversus totalis and was operated for laparoscopic cholecystectomy under general anesthesia with I-gel, a new supraglottic airway device as an airway conduit. Though the problems related to such patients are mainly of surgical feasibility, an anesthesiologist must be aware of the associated problems of both, situs inversus and the laparoscopy. The present case report lays an emphasis on the potential difficulties during anesthetic management and its various implications. To the best of our knowledge, we report the first case in India of a successful laparoscopic cholecystectomy in a patient with situs inversus totalis with use of I-gel.
Authors and Affiliations
Sudhir Rao, Chaitanya , Sahajananda , Soumya Rohit
Keywords
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- EP ID EP153754
- DOI 10.14260/jemds/2014/2352
- Views 93
- Downloads 0
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