A Case of Descending Colon Cancer with Situs Inversus Totalis Treated by Laparoscopy-assisted Colectomy

Abstract

We report a case of descending colon cancer in a patient with situs inversus totalis treated by laparoscopy-assisted colectomy. A 78-year-old man was referred to our hospital because of a positive fecal occult blood test. He was diagnosed with descending colon cancer at colonoscopy. A chest radiograph and CT revealed situs inversus totalis. We performed laparoscopy-assisted colectomy with no serious complications. Preoperatively, the three-dimensional CT findings provided useful information such as the location of the tumor and its relationship with the feeding arteries. These findings enabled us to perform laparoscopic surgery safely in a patient with situs inversus totalis.