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TRANSHIATAL OESOPHAGECTOMY FOR A PATIENT WITH CARCINOMA OESOPHAGUS AND SITUS INVERSUS TOTALIS - A UNIQUE CASE REPORT

BALASUBRAMANIAM RAMANANDHAM

Abstract


Aim To report a successfully operated
case of Carcinoma Oesophagus with Situs
inversus totalis.Case Report 54 year
old postmenopausal woman was evaluated
in our department for her complaint
of progressive dysphagia endoscopy
showed growth lower third oesophagus
with biopsy showing it to be squamous
cell carcinoma. Further evaluation
showed no significant perioesophageal
disease or any major vascular involvement
or distant metastasis. Her radiological
investigations (chest x-ray and CT)
showed features of Situs inversus totalis.
We decided to proceed with Transhiatal
oesophagectomy.Unique Anatomical
Findings Peroperatively, all her abdominal
viscera were in a mirror-image position.
We successfully performed the surgery
as planned taking necessary precautions
while mobilizing the oesophagus
in the superior and middle mediastinum
considering the altered anatomy of
aortic arch and descending aorta. Postoperative
period was uneventful.


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