A Report of Situs Inversus Totalis Associated with Advanced Gastric Cancer

Noriaki Kojima, Fumio Sakashita, Shuntaro Honda, Kouki Hayashi, Tomohiko Furuta and Hideki Mori^*

Department of Surgery, Kanayama National Insurance Hospital
Department of Pathology, Gifu University School of Medicine^*

We were able to gather 54 reported cases of situs inversus totalis (SIT) associated with gastric cancer in Japan, and in 55 cases, including our case, we discuss the significance of SIT. A 66 year old man who was diagnosed as having situs inversus due to dextro-cardia while he was a student at school, was admitted to our hospital because of complaints of dizziness and general fatigue. After UGI, US and GIF examination, he was found to have an advanced stage IIIa cancer at the C portion of the stomach associated with SIT. On January 30, 1998 a total gastrectomy with D3 lymphadenectomy was performed, and was reconstructed by modified ρ -Graham method (pap> tub, se, INFβ , int, ly2, v2, ow (-), aw (-), n1, H0, P0, stage IIIa). SIT was also confirmed in the stomach, liver, pancreas, and other organs, including the main vessels, during the surgery.

Key words
situs inversus totalis, gastric cancer

Reprint requests
Noriaki Kojima The Second Department of Surgery, Gifu University School of Medicine 40 Tsukasa-machi, Gifu, 500-8705 JAPAN

Accepted
July 28, 1999

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