Laparoscopic Distal Gastrectomy for Synchronous Gastric Cancer and Gastrointestinal Stromal Tumor With Situs Inversus Totalis

Overview

Journal In Vivo

Specialty Oncology

Date 2021 Feb 24

PMID 33622883

Citations 13

Authors

Tsutomu Namikawa

Masahiro Maeda

Keiichro Yokota

Nobuhisa Tanioka

Jun Iwabu

Masaya Munekage

Sunao Uemura

Hiromichi Maeda

Hiroyuki Kitagawa

Yusuke Nagata

Michiya Kobayashi

Kazuhiro Hanazaki

Affiliations

Soon will be listed here.

Abstract

Background: Situs inversus totalis (SIT) is a rare congenital condition in which the thoracic and abdominal organs are inverted like a mirror image.

Case Report: We present a case of synchronous gastric cancer and gastrointestinal stromal tumor (GIST) associated with SIT in a 74-year-old man who was admitted to our department to treat gastric cancer. Esophagogastroduodenoscopy revealed a depressed lesion and a submucosal tumor (SMT) in the middle-third of the stomach. Abdominal contrast-enhanced computed tomography revealed complete inversion of the internal organs, and the common hepatic artery branched from the superior mesenteric artery. The patient underwent laparoscopic distal gastrectomy with regional lymph node dissection and Billroth I reconstruction. The macroscopic observation of the resected specimen revealed a depressed lesion measuring 2.0×1.5 cm in diameter and an SMT measuring 2.2×1.8 cm.

Conclusion: Careful preoperative anatomic evaluation is important in SIT because the situs anomalies may be accompanied by major vascular anomalies.

Citing Articles

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Rao A, Rao R, Taylor M, Khreiss M, Arshad J Cureus. 2024; 16(4):e58248.

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Association between types of abdominopelvic cancer in patients with situs inversus total: Systematic review.

Valenzuela-Fuenzalida J, Martinez Hernandez D, Milos-Brandenberg D, Koscina Z, Avila-Sepulveda R, Baez B Medicine (Baltimore). 2024; 103(8):e37093.

PMID: 38394506 PMC: 11309613. DOI: 10.1097/MD.0000000000037093.

Synchronous occurrence of gastric cancer and gastrointestinal stromal tumor: A case report and review of the literature.

Liu J, Huang B, Ding F, Tang F, Li Y World J Gastrointest Oncol. 2023; 15(10):1807-1822.

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Gastric adenocarcinoma in Situs inversus totalis: a case study and literature review.

Sun B, Xu P, Kong P, Fang Y, Fu H Front Oncol. 2023; 13:1238467.

PMID: 37954083 PMC: 10635521. DOI: 10.3389/fonc.2023.1238467.

Laparoscopy-assisted gastrectomy for advanced gastric cancer patients with situs inversus totalis: Two case reports and review of literature.

Liu H, Cai X, Lu Z, Xiong B, Peng C World J Gastrointest Surg. 2023; 15(9):2063-2073.

PMID: 37901733 PMC: 10600769. DOI: 10.4240/wjgs.v15.i9.2063.

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