Situs Inversus Totalis: A Puzzling Anatomic Variation in a Clinical Setting

Document Type : Case report

Authors

1 Department of Anaesthesiology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.

2 Department of Anaesthesiology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana; India.

3 Department of Radiodiagnosis, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.

4 Kasturba Medical College, Mangalore, India.

10.21608/asja.2024.264368.1061

Abstract

This case report highlights the anesthetic management of a 31-year-old male patient who presented to the surgical outpatient department with a chief complaint of persistent left hypochondrial pain over the past 5 days, accompanied by symptoms of nausea and vomiting. The patient's clinical examination and diagnostic investigations revealed an acute abdominal condition requiring urgent surgical intervention.

The anesthetic strategy involved a comprehensive preoperative assessment, considering the patient's medical history and the nature of the abdominal pathology. Anesthesia induction was carefully tailored to the patient's hemodynamic stability, with close monitoring of vital signs throughout the perioperative period. Intraoperatively, the surgical team successfully addressed the underlying pathology, necessitating meticulous coordination between the anesthesia and surgical teams.

Postoperative care included pain management, monitoring for complications, and ensuring a smooth transition to the recovery phase. The case report emphasizes the importance of individualized anesthetic planning in the context of acute abdominal pain, with a focus on optimizing patient outcomes and safety. Additionally, it underscores the collaborative effort required between anesthesia and surgery teams to ensure effective perioperative management in such cases.

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