Abstract
A 62-year-old male was found to have a stomach tumor. Abdominal CT revealed multiple abnormalities : a polyspleen, pancreatic hypoplasia, and malrotation of the intestine. He had no other abnormalities, such as heart malformations. The patient underwent a total gastrectomy and a preventive appendectomy. The pancreas showed severe fatty degeneration ; the peripancreatic lymph node dissection was very difficult. The patient's post-operative course was uneventful. This report describes a rare case of stomach carcinoma complicated by multiple abnormalities.