Segmental Spinal Anaesthesia for Laparoscopic Cholecystectomy in Situs Inversus Patient: A Case Report
Situs inversus is a rare congenital anomaly and presents with transposition of abdominal and thoracic viscera to the opposite side, including the heart and gallbladder. Laparoscopic Cholecystectomy (LC) is the gold standard for chronic cholelithiasis and has been reported in patients with situs inve...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-01-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/20535/73450_CE(Ra1)_F(Sh)_QC(SD_OM)_PF1(AG_SL)_PFA(SL)_PN(SL).pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Situs inversus is a rare congenital anomaly and presents with transposition of abdominal and thoracic viscera to the opposite side, including the heart and gallbladder. Laparoscopic Cholecystectomy (LC) is the gold standard for chronic cholelithiasis and has been reported in patients with situs inversus under General Anaesthesia (GA). Segmental Spinal anaesthesia (SS) has been gaining popularity as a safe alternative to GA in high-risk patients and for LC as well. Present case is of a 48-year-old male with situs inversus, dextrocardia without any other cardiopulmonary anomaly, and short stature who was electively operated on under the SS for chronic cholelithiasis electively. The patient was aware of his congenital condition and preferred awake anaesthesia. After a multidisciplinary discussion involving surgery, cardiology and the anaesthesia team the patient was operated on with LC successfully under SS with isobaric levobupivacaine and fentanyl through T8-9 space. The intraoperative and postoperative periods were uneventful. Present case conclude that SS can provide considerable safety in well-investigated patients who pose a risk for GA due to various factors, such as altered anatomy, birth abnormalities associated with cardiac and pulmonary risk and difficult airways. This case report can be used as a reference for the preferred use of SS instead of GA in such cases. |
|---|---|
| ISSN: | 2249-782X 0973-709X |