Bilateral chylothorax and pericardial effusion following subtotal gastrectomy in a patient with situs inversus totalis

2018 ◽  
Vol 89 (10) ◽  
Author(s):  
Peng Zhou ◽  
Yunping Lan ◽  
Xianpeng Qin ◽  
Xiaobo Huang ◽  
Fan Zeng
Keyword(s):  
Pericardial Effusion ◽  
Situs Inversus ◽  
Subtotal Gastrectomy ◽  
Situs Inversus Totalis ◽  
Bilateral Chylothorax

scholarly journals A Case of Gastric Cancer with Situs Inversus Totalis

2017 ◽  
Vol 10 (1) ◽  
pp. 130-135 ◽  
Author(s):  
Byoung Jo Suh
Keyword(s):  
Gastric Cancer ◽  
Situs Inversus ◽  
Subtotal Gastrectomy ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Surgical Skill ◽  
X Ray ◽  
D2 Lymph Node Dissection ◽  
Positron Emission ◽  
Chest X Ray

Situs inversus totalis (SIT) is a rare congenital anomaly that refers to a completely reversed location of the abdominal and thoracic organs. We report the case of 50-year-old man with gastric cancer and SIT who was diagnosed during a screening esophagogastroduodenoscopy. A chest X-ray, abdominopelvic computed tomography, and 18F-fluoro2-deoxyglucose-D-glucose-positron emission tomography scans revealed SIT. We performed a radical subtotal gastrectomy with D2 lymph node dissection. Advanced surgical skill is required to perform a precise lymphadenectomy in a patient with SIT by visualizing the exact mirror image of the anatomy during the operation. The patient had an uneventful intra- and postoperative course and was followed up at the outpatient department without any evidence of recurrence. In conclusion, surgery in a patient with gastric cancer and SIT can be safely performed by paying attention to the inverted anatomic structures during the operation.

scholarly journals Anesthetic management of a patient with situs inversus totalis undergoing coronary artery bypass grafting surgery: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Chigusa Nakasone ◽  
Masafumi Kanamoto ◽  
Wataru Tatsuishi ◽  
Tomonobu Abe ◽  
Shigeru Saito
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Situs Inversus ◽  
Anesthetic Management ◽  
Artery Bypass ◽  
Situs Inversus Totalis ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Intraoperative Management

Abstract Background Anesthetic management of coronary artery bypass grafting surgery (CABG) in a dextrocardia patient with situs inversus totalis is rarely encountered and seldom reported in the literature. Case presentation A 76-year-old Japanese female patient had been diagnosed with situs inversus totalis and coronary artery disease of 3 vessels, and she subsequently underwent elective CABG. A preoperative examination showed almost normal results. ECG showed right deviation with the normal lead position. In the operating room, ECG leads were applied in reverse. Pulmonary artery catheterization was performed via the left internal jugular vein. A transesophageal echocardiography (TEE) probe was introduced without difficulty. A different angle was needed to acquire the desired views because of her atypical anatomy. Conclusion Careful perioperative evaluation, intraoperative management, and inspection of multiplane angle and probe adjustments in TEE are needed for anatomically abnormal patients.

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