Abstract
A 78-year-old woman developed vomiting and abdominal pain. Abdominal CT scans showed an esophageal hiatal hernia with an ‘upside down stomach’. Gastrofiberscopy showed type 0-IIc gastric cancer at the esophagogastric junction. Based on these findings, the patient was diagnosed as having early gastric cancer and an esophageal hiatal hernia. She underwent a laparoscopy-assisted total gastrectomy and an esophageal hiatal hernia repair. The final diagnosis was type 0-IIc, T1bN0M0, stage IA, with residual tumor of R0. The postoperative course was uneventful. We report this case of gastric cancer and esophageal hiatal hernia complicated by an ‘upsidedown stomach’ requiring laparoscopic surgery. This is the first time such surgery was done in Japan.
