J Korean Surg Soc.  2005 Sep;69(3):263-265.

Radical Subtotal Gastrectomy in Early Gastric Cancer Patient with Situs Inversus Totalis

• Jin SH
• Kim WW
• Oh SH

Abstract

Situs inversus totalis is a complete mirror image of the thoracic and abdominal viscera. There are many cases of malignant neoplasms being found in patients with situs inversus totalis. We report a case of situs inversus totalis with an early gastric cancer. The patient was a 50-year-old woman who presented with epigastric discomfort with a one-month duration. The chest X-ray showed dextrocardia and the abdomen CT revealed situs inversus totalis with wall thickening of the gastric antrum. The resected specimen showed a 2 cm sized eroded lesion in the antrum. Histologically, gastric cancer was diagnosed as a well differentiated tubular adenocarcinoma that was confined to the mucosal layer. The patient was treated successfully with a radical subtotal gastrectomy, even though situs inversus totalis was not familiar to the surgeon.

Keyword

Situs inversus totalis; Radical subtotal gastrectomy

MeSH Terms

Abdomen
Adenocarcinoma
Cytochrome P-450 CYP1A1
Dextrocardia
Female
Gastrectomy*
Humans
Middle Aged
Pyloric Antrum
Situs Inversus*
Stomach Neoplasms*
Thorax
Viscera
Cytochrome P-450 CYP1A1