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

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.