Anesthesia management in a patient with Situs Inversus Totalis: Case Report

Situs inversus totalis is an autosomal recessive congenital anomaly, seen at 1/7000-8000 ratio. It is quite a rare condition characterized by asymmetric placement of abdominal and thoracic organs. In our case, due to acute abdomen, an emergency operation was planned for a twenty-one years old patient diagnosed with situs inversus. Based on a detailed examination and patient history, it was established that there were no additional diseases. The patient was taken to the operation room and was routinely monitored. After anesthesia induction, surgical laparoscopic surgery was applied and during the exploration situs inversus totalis was observed in the patient. Appendectomy was applied to the patient. The patient whose vitals were stable during the operation was extubated postoperatively and sent to the service. Situs inversus totalis is an isolated case, and doesn't carry additional pathology with it, however we would like to remind that it may collocate with heart, spine, and airway borne structural and functional malformations.