Abstract
The situs inversus is a rare congenital anomaly, which is a more or less complete inversion of the abdominal and thoracic organs. We report a case of 70 years old man, without pathological antecedents complaining about epigastric pains associated to haematemesis, and whose gastric endoscopy objectified a gastric tumor. The pulmonary x-ray and the abdominal computed tomography (CT) revealed the previously unrecognized situs inversus totalis. A subtotal gastrectomy was performed and patient had an uneventful postoperative course.
Highlights
Situs inversus totalis is a congenital anomaly, occurring at an incidence of 1 in 10 000–50 000 live births [1]
It's defined as a complete mirror image of the thoracic and abdominal viscera, this does not seem to affect normal health or life expectancy, and it is not considered to be premalignant
We report a case of situs inversus totalis found in association with gastric cancer in an elderly man
Summary
Situs inversus totalis is a congenital anomaly, occurring at an incidence of 1 in 10 000–50 000 live births [1]. It's defined as a complete mirror image of the thoracic and abdominal viscera, this does not seem to affect normal health or life expectancy, and it is not considered to be premalignant. We report a case of situs inversus totalis found in association with gastric cancer in an elderly man. A 70-year-old man was admitted to our hospital for treatment of gastric cancer He had presented with a 7-month history of fatigue, intermittent abdominal pain, loss of appetite, vomiting and two episodes of haematemesis. The patient had no prior history of diabetes, hypertension, abdominal surgery or trauma The abdominal CT showed Tumor thickened antrum gastric wall with situs inversus totalis Histologic examination of the specimen showed a liberkunien middle differentiated adenocarcinoma, with serosal invasion and 3 lymph nodes metastasis (T3N+ according to international classification).
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