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KMID : 0371320050690030263
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Journal of the Korean Surgical Society
2005 Volume.69 No. 3 p.263 ~ p.265
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Radical Subtotal Gastrectomy in Early Gastric Cancer Patient with Situs Inversus Totalis
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Jin Sang-Hwa
Kim Won-Woon
Oh Sang-Hun
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Abstract
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Situs inversus totalis is a complete mirror image of the thoracic and abdominal viscera. There are many cases of malignant neoplasms being found in patients with situs inversus totalis. We report a case of situs inversus totalis with an early gastric cancer. The patient was a 50-year-old woman who presented with epigastric discomfort with a one-month duration. The chest X-ray showed dextrocardia and the abdomen CT revealed situs inversus totalis with wall thickening of the gastric antrum. The resected specimen showed a 2 cm sized eroded lesion in the antrum. Histologically, gastric cancer was diagnosed as a well differentiated tubular adenocarcinoma that was confined to the mucosal layer. The patient was treated successfully with a radical subtotal gastrectomy, even though situs inversus totalis was not familiar to the surgeon. (J Korean Surg Soc 2005; 69:263-265)
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KEYWORD
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Situs inversus totalis, Radical subtotal gastrectomy
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