Abstract
A 68-year-old male patient was detected as having gastric cancer by upper gastrointestinal endoscopy.
We also found that the patient had a right-sided round ligament, intestinal malrotation, a preduodenal portal vein, a floating gallbladder and an accessory spleen. We performed total gastorectomy with D2 lymph node dissection. The postoperative course was uneventful. We report the case, along with a review of the literature.