Anaesthetic Management of a Geriatric Patient with Situs Inversus Totalis with Bilateral Varicose Veins for Left Sided Trendelenburg's Operation with Bilateral Superficial Ligation of Perforators

Situs inversus is characterized by the transposition of organs to the opposite side of the body. When associated with dextrocardia, it is known as situs inversus totalis. This condition is a rare congenital abnormality and can create diagnostic confusion for surgeon due to unusual location of symptoms leading to late diagnosis of known pathologies as well as operative difficulties due to altered anatomy. Varicose veins of leg though being commonly reported, diagnose specially in elderly can be notorious if associated with its complications like ulcers, bleeding etc., and when associated with underlying medical illness. We report a rare case where these conditions coexisted.