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Case Reports
. 2007;37(8):676-9.
doi: 10.1007/s00595-006-3445-9. Epub 2007 Jul 26.

Situs ambiguous with gastric cancer: report of a case

Ryuji Tsutsumi  1 , Yasuhiro Nagata, Akihito Enjoji, Yasuharu Ohno, Hodaka Kamito, Takashi Kanematsu
Affiliations
Case Reports

Situs ambiguous with gastric cancer: report of a case

Ryuji Tsutsumi et al. Surg Today. 2007.

Abstract

Situs ambiguous is an unpredictable anomaly characterized by disorder of the organ arrangement in the chest and abdomen. We report a case of situs ambiguous found incidentally in a 73-year-old man with gastric cancer. Preoperative imaging showed polysplenia, a bridging liver, a midline gall bladder, and pancreatic divisum. The vessels around the stomach were clearly shown by computed tomography with multiplanar reconstruction (MPR). Computed tomography with MPR proved a good diagnostic tool for identifying both the abdominal vessels and the location of the organs. Based on a precise evaluation of this unusual anatomy, we performed distal gastrectomy with dissection of the regional lymph nodes.

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