title: The challenging aspects and successful anaesthetic management in a case of situs inversus totalis.
abstract: Situs inversus totalis is a rare condition with a predicted incidence of one in 10,000 among the general population, the aetiologic factors for which are still not completely understood. In a patient with situs inversus totalis, not just the diagnosis of any acute abdomen pathology is difficult due to distorted anatomy and transposition of thoraco abdominal viscera but equally challenging is the anaesthetic management during the respective surgical procedure. We are reporting a patient who had situs inversus totalis and was operated for open cholecystectomy. The present case report lays an emphasis on the potential difficulties during anaesthetic management and its various implications.
authors.affiliation: Departments of Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Banur, Patiala, Punjab, India.
authors.forename: Sukhminder Jit Singh
authors.initials: SJ
authors.lastname: Bajwa
authors.forename: Ashish
authors.initials: A
authors.lastname: Kulshrestha
authors.forename: Jasbir
authors.initials: J
authors.lastname: Kaur
authors.forename: Sachin
authors.initials: S
authors.lastname: Gupta
authors.forename: Amarjit
authors.initials: A
authors.lastname: Singh
authors.forename: Surjit Singh
authors.initials: SS
authors.lastname: Parmar