SITUS INVERSIS TOTALIS ASSOCIATED WITH A GASTRIC CANCER-A CASE REPORT-

Abstract

A rare case of situs inversus totalis associated with a gastric cancer in a 56-year-old man with is reported. Situs inversus totalis was pointed out by examination at entering school. He is right handed and has a right orchidoptosis. The anomaly is also seen on his second elder brother. In May 1994, he awared of an epigastric pain. Upper GI series and gastrofiberscopy revealed a protruding lesion of greater curvature of lower body of the stomach. Poorly differentiated adenocarcinoma was accepted in a biopsy diagnosis. Under the diagnosis of Borrmann 3 type gastric cancer, on the 20th of June, a gastrectomy and partial excision of the transverse colon were carried out. Histological examination of the resected specimen comfirmed moderately differentiated tubular adenocarcinoma with an extention through the serosa. In the diagnosis and surgical treatment for the patient with situs inversus totalis with a malignancy, anatomical assessment of the lesion, organs and possible malformation associated is very important.