title: Anaesthetic Management for Appendectomy in a Patient with Situs Inversus Totalis.
abstract: Situs inversus totalis is a congenital syndrome, in which all the internal organs are in the opposite position, including dextrokardia. Most patients are asymptomatic and maintain their normal life. Kartagener syndrome may accompany situs inversus totalis. Diagnosis may be overlooked in patients with situs inversus totalis in emergency situations. Patients with this syndrome should inform the clinician as this will facilitate the diagnosis. Acute appendicitis is an emergency situation that would require urgent intervention. Appendicitis symptoms can be observed in the left lower quadrant of patients. We present a case concerning the anaesthetic management of a patient with situs inversus undergoing an emergency appendectomy.
authors.affiliation: Department of Anaesthesiology and Reanimation, Dumlupınar University Evliya Çelebi Training and Research Hospital, Kütahya, Turkey.
authors.forename: Alparslan
authors.initials: A
authors.lastname: Koç
authors.affiliation: Department of General Surgery, Dumlupınar University Evliya Çelebi Training and Research Hospital, Kütahya, Turkey.
authors.forename: Yalçın
authors.initials: Y
authors.lastname: Sönmez
authors.affiliation: Department of Anaesthesiology and Reanimation, Dumlupınar University Evliya Çelebi Training and Research Hospital, Kütahya, Turkey.
authors.forename: Onur
authors.initials: O
authors.lastname: Balaban
keywords: Situs inversus totalis; acute appendicitis; anaesthesia; kartagener syndrome