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Anaesthetic 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


Affiliations
1 AIMS, B G Nagara, India

Situs inversus is characterized by the transposition of organs to the opposite side of the body. When associated with dextrocardia, it is known as situs inversus totalis. This condition is a rare congenital abnormality and can create diagnostic confusion for surgeon due to unusual location of symptoms leading to late diagnosis of known pathologies as well as operative difficulties due to altered anatomy. Varicose veins of leg though being commonly reported, diagnose specially in elderly can be notorious if associated with its complications like ulcers, bleeding etc., and when associated with underlying medical illness. We report a rare case where these conditions coexisted.

Keywords

Ligation, Situs Inversus Totalis, Dextrocardia, Epidural Anaesthesia, Varicose Veins.
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  • NR, Merkin RJ. Situs inversus: Review of the literature. Report of four cases and analysis of the clinical implications. J Int. Coll Surg 1960;33:131–48. 5.
  • Zariwala MA, Knowles MR, Omran H. Genetic defects in ciliary structure and function. Annu Rev Physiology 2007;69:423-50

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  • Anaesthetic 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

Abstract Views: 101  | 

Authors

J. Achyutha
AIMS, B G Nagara, India
Prajwal Patel
AIMS, B G Nagara, India
Darpan Dutta
AIMS, B G Nagara, India
Purohit Kunal
AIMS, B G Nagara, India

Abstract


Situs inversus is characterized by the transposition of organs to the opposite side of the body. When associated with dextrocardia, it is known as situs inversus totalis. This condition is a rare congenital abnormality and can create diagnostic confusion for surgeon due to unusual location of symptoms leading to late diagnosis of known pathologies as well as operative difficulties due to altered anatomy. Varicose veins of leg though being commonly reported, diagnose specially in elderly can be notorious if associated with its complications like ulcers, bleeding etc., and when associated with underlying medical illness. We report a rare case where these conditions coexisted.

Keywords


Ligation, Situs Inversus Totalis, Dextrocardia, Epidural Anaesthesia, Varicose Veins.

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DOI: https://doi.org/10.18311/isacon-Karnataka%2F2017%2FEP053