Koç Alparslan, Sönmez Yalçın, Balaban Onur
Department of Anaesthesiology and Reanimation, Dumlupınar University Evliya Çelebi Training and Research Hospital, Kütahya, Turkey.
Department of General Surgery, Dumlupınar University Evliya Çelebi Training and Research Hospital, Kütahya, Turkey.
Turk J Anaesthesiol Reanim. 2016 Apr;44(2):105-7. doi: 10.5152/TJAR.2016.33716. Epub 2016 Apr 1.
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.
全内脏转位是一种先天性综合征，其中所有内脏器官都处于相反位置，包括右位心。大多数患者无症状，生活正常。卡塔格内综合征可能与全内脏转位同时出现。在紧急情况下，全内脏转位患者的诊断可能会被忽视。患有这种综合征的患者应告知临床医生，这将有助于诊断。急性阑尾炎是一种需要紧急干预的紧急情况。阑尾炎症状可在患者左下腹观察到。我们报告一例全内脏转位患者行急诊阑尾切除术的麻醉管理病例。
