Abstract Situs inversus is an uncommon congenital positional anomaly in which orientation of all asymmetric organs in the body are mirror image of normal morphology. The condition if undetected may pose a diagnostic problem in patients of abdominal pathology. Though the problems related to such patients are mainly surgical, an anesthesiologist must be aware of the problems associated with situs inversus. Here we successfully managed a case of obstructed umbilical hernia with situs inversustotalis in an adult who was previously unaware of the anomaly.

Key words: Situsinversus, Obstructed Umbilical hernia, Dextrocardia.