A CASE OF GASTRIC CANCER AND CHOLELITHIASIS WITH SITUS INVERSUS VISCERUM

Situs inversus viscerum occurs in one of every 5, 000 to 10, 000 births, and it is accompanied by some anomalies frequently. A 64-year-old man was admitted to the hospital because of epigastric pain. Gastrointestinal fiberscopy revealed a convergence of stomach fold, and a diagnosis of adenocarcinoma was made on biopsy. Abdominal ultrasonography also revealed cholelithasis. The diagnosis of situs inversus viscerum had been made in another hospital previously. No associated malformation in the large vessels of the heart was noted preoperatively. Total gastrectomy with lymph node dissection and cholecystectomy with intraoperatively cholangiography were carried out. Postoperative course was uneventful. There have been no signs of recurrence, as of one year after the operation. We report our case together with a review of the literature.