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ID 44410
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Title Alternative
Treatment of gastric cancer with situs invertsus totalis : A case report
Author
Noma, Kazuhiro
Tanakaya, Kohji
Takeuchi, Hitoshi
Konaga, Eiji
Fujiwara, Toshiyoshi ORCID Kakenhi
Abstract
Situs inversus totalis (SIT) is a relatively rare congenital anomaly with a reported incidence of 1 in 5,000 to 10,000 live births. Although some reports of SIT with malignancy have been published, there have been few reports on SIT with gastric cancer or on the potential complications of surgical intervention in such cases. We here report the case of a patient who underwent surgical treatment for gastric cancer with SIT. The patient was a 54-year-old male, who had been an outpatient with chronic hepatitis and diabetes mellitus. He received an upper endoscopic examination for follow-up of esophageal varices and type 2 ulcerative gastric cancer was found at the posterior wall of the lower stomach. Biopsy was performed and the patient was diagnosed with moderately differentiated gastric cancer. Distal gastrectomy was performed with precise preoperative anatomical analysis in order to confirm that there was no another anomaly, such as cardiovascular or congenital anatomical anomalies except for the inverted position of all of the viscera. Adequate anatomical examination and analysis of the inverted position of related vascular for surgical treatment could lead to safer interventional treatment for malignancies with SIT.
Keywords
完全内臓逆位症 (situs inversus totalis)
胃癌 (gastric cancer)
Note
症例報告 (Case Report)
Published Date
2011-04-01
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume123
Issue
issue1
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
45
End Page
48
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
http://dx.doi.org/10.4044/joma.123.45
Related Url
http://www.okayama-u.ac.jp/user/oma/
language
日本語
Copyright Holders
Copyright (c) 2011 岡山医学会
File Version
publisher
Refereed
True
DOI
Eprints Journal Name
joma