Abstract
A 58-year-old man was admitted to our hospital for scrutiny purpose of anemia. He had been diagnosed with partial situs inversus. Esophagogastroduodenoscopy showed a bleeding ulcer in the gastric corpus, for which hemoclipping was effective. A superficial type ulcer was also detected close to lesser curvature of the upper body of the stomach. A biopsy revealed poorly differentiated adenocarcinoma. Preoperative CT scan revealed that the stomach, spleen, and pancreas were located in the reverse ; the liver seemed to be symmetrical, and the gallbladder and Treitz ligament were in the normal position. Total gastrectomy (D1+) with R-Y reconstruction was performed with the diagnosis of gastric cancer, cT1b, cN0, cM0, Stage IIA. His postoperative course was uneventful, and he was discharged on day 13. No cancer recurrence has occurred as of one year and three months after the surgery. CT was especially useful to know the anatomical relations of vessels and organs in the surgical case associated with situs inversus.
