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Case Reports
. 2022 Mar 26;2022(3):rjab568.
doi: 10.1093/jscr/rjab568. eCollection 2022 Mar.

Descending colon cancer in a patient with situs inversus totalis: a case report and literature review

Long Cheng  1 , Yi-Guo Feng  1 , Lin He  1 , Jie-Bin Xie  1 , Cen-Ji Zhou  1 , Jian-Jun Liu  1 , Pan Wang  1
Affiliations
Case Reports

Descending colon cancer in a patient with situs inversus totalis: a case report and literature review

Long Cheng et al. J Surg Case Rep. .

Abstract

Situs inversus totalis (SIT) is a congenital disorder of anatomical position, and the operation of patients with total visceral inversion often brings great challenges to surgeons. Although there have been previously documented on patients with SIT and colonic cancer, this is the first case report of descending colon cancer in patient with SIT. The current report presents a case of a 67-year-old female patient with descending colon cancer and SIT. After preoperative preparation and discussion, open left hemicolectomy was performed for the patient. The postoperative recovery of the patient was smooth; however, there was a mild lymphatic leakage in the patient, which was cured by conservative treatment for 5 days. The patient was discharged on postoperative Day 10. There was no tumor recurrence or other discomfort in 1 year follow-up period.

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Figures

Figure 1
Figure 1
Enhanced CT of the upper abdomen showed that the heart was located on the right side of the thoracic cavity, the liver was located on the left side of the abdominal cavity (A), and the stomach and spleen were located on the right side of the abdominal cavity (B), confirming SIT.
Figure 2
Figure 2
Chest X-ray showed that the heart was on the right side of the chest (A). Enhanced CT of the lower abdomen showed thickening of the descending colon with stenosis and enhancement, which suggested that it might be a tumor of the descending colon (B, yellow arrow).
Figure 3
Figure 3
The left ovarian blood veins were significantly thickened (A, blue arrow), and the tumor was located in the descending colon (A, yellow arrow); the inferior mesenteric blood vessels were absent, the left colon blood vessels (B, blue arrow) and the left ureter (B, yellow arrow) were marked. Pathological examination showed a moderately differentiated adenocarcinoma (C).
See this image and copyright information in PMC

References

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