scholarly journals Colorectal Carcinoma in a Patient with Situs Inversus Totalis

2017 ◽  
Vol 63 (4) ◽  
pp. 194-198
Author(s):  
Iunius Paul Simu ◽  
Janos Jung ◽  
Tivadar Bara ◽  
Patricia Maria Luminita Simu ◽  
Alexandru Ghizdavat

AbstractIntroduction: Colorectal cancer is one of the most common types of malignant tumors worldwide. In patients with situs abnormalities such as situs inversus totalis or situs ambiguus, the presence of this tumor could be a challenge for the surgeon, especially in cases in which the laparoscopic approach is considered.Case presentation: We report the case of a 69-year-old male patient with situs inversus totalis. This particular case of situs inversus totalis was not a classical type because the patient had bilateral bilobed lungs, polysplenia, preduodenal portal vein in association with midgut malrotation. The pathology report after surgery revealed moderately differentiated adenocarcinoma of the sigmoid colon, stage pT3 N1c M1a, liver metastases but without metastases in the eight resected lymph nodes. We compared this rare association of diseases of particular anatomic aspects with other reports in the specialty literature.Conclusion: The identification of situs abnormalities or other malformations in patients with resectable colorectal cancer is essential, thus preoperative imaging studies are imperative for a proper surgical management. Colorectal cancer metastasizing patterns in patients with intestinal malrotation need to be further investigated.

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Atsushi Takeno ◽  
Toru Masuzawa ◽  
Shinsuke Katsuyama ◽  
Kohei Murakami ◽  
Kenji Kawai ◽  
...  

Abstract Background The robotic system has been applied in the treatment of gastric cancer (GC), and the procedure has been found to be safe and feasible. Situs inversus totalis (SIT) is a relatively rare autosomal recessive congenital anomaly. We successfully performed robot-assisted proximal gastrectomy (RAPG) and handsewn double-flap esophagogastrostomy for GC in a patient with SIT. Case presentation A 71-year-old woman was referred to us with an asymptomatic ulcerative lesion in the upper body of the stomach. Computed tomography revealed that she had SIT. She was diagnosed with cT1bN0M0, cStageIA gastric cancer. RAPG with lymph node dissection and handsewn double-flap esophagogastrostomy was performed. Robotic surgery enabled the surgeon to perform the surgery without changing his position and experiencing any confusion resulting from the patient’s reversed anatomy. It took 448 min, and no intraoperative complications occurred. Her postoperative course was uneventful; she was discharged on postoperative day 10. The final pathologic report showed pT1b1N0M0, pStage IA. Conclusions This is the first case describing RAPG with handsewn double-flap esophagogastrostomy for a SIT patient with early GC.


2017 ◽  
Vol 37 (2) ◽  
pp. 147-151
Author(s):  
Maria Labalde Martínez ◽  
Pilar Veguillas Redondo ◽  
Jorge Carlin Gatica ◽  
Jose Manuel Ramia Angel

2022 ◽  
Vol 19 (1) ◽  
pp. 109-110
Author(s):  
Suresh Kumar Nag

Introduction: Situs inversus is a rare autosomal recessive disorder occurring in 1:5,000 to 1:20,000 indiviuals. Cholecystectomy is a standard treatment for symptomatic gallbladder stone. We report a case of cholelithiasis in patient with inversus totalis who underwent cholecystectomy. Case presentation: A 48 years old obese female patient with dextrocardia and hypertention presented with a recurrent left upper abdominal pain for two years. Ultrasound abdomen showed gallbladder stone. Conventional cholecystectomy was done with a small left subcostal incision. The postoperative period was uneventful and the patient was discharged on 3rd post operative day. Conclusion: Cholecystectomy is the treatment of choice in patients with a left sided gallbladder stone, like in normal gallbladder and it is safe.


Author(s):  
Marcelo Pandolfi BASSO ◽  
Adriana Borgonovi CHRISTIANO ◽  
Francisco de Assis GONÇALVES-FILHO ◽  
Marcelo Maia Caixeta de MELO ◽  
Luiz Sérgio RONCHI ◽  
...  

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Surasak Puvabanditsin ◽  
Akreeti Maskey ◽  
Rannan Kased ◽  
Sadia Haleem ◽  
Rajeev Mehta

AbstractObjectivesThe spinal dysraphism and situs inversus are a rare association. Since 1909, reports on the coincidence of malformations of the spine and gastrointestinal tract have been published. So far there is no plausible explanation for the association.Case presentationWe report a term female infant with spinal dysraphism with club feet associated with dextrocardia and situs inversus totalis. Whole genome SNP microarray analysis was normal. However, there are extended contiguous regions of allele homozygosity [>8 Mb[megabase]) observed in chromosome 6 and 14.ConclusionsWe report a rare association of spinal dysraphism and situs inversus totalis in a neonate. We review the literature. There have recently been theorized by some to in fact represent nothing more than the presence of two or more polytopic field defects, with all the anomalies present sharing a common molecular basis.


Author(s):  
Masakazu IKENAGA ◽  
Hideyuki MISHIMA ◽  
Motohiro HIRAO ◽  
Kazumasa FUJITANI ◽  
Toshimasa TSUJINAKA

10.3823/2523 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Deborah Marques Centeno ◽  
Tiago Galan França ◽  
Acacio Augusto Centeno ◽  
Marcos Antonio neves Noronha ◽  
Carolina Ribeiro Mainardi ◽  
...  

Title: Laparoscopic Approach in Patient with Situs Inversus Totalis and Colelithiasis: a Case Report. Background: Situs Inversus Totalis is a rare clinical condition that gives a mirror aspect to the position of the organs. It is a congenital condition and though it does not affect normal health or longevity, it may be a challenge in cases requiring surgical intervention. Case: The authors report a case of cholelithiasis in a patient with previous diagnosis of Situs Inversus Totalis. The patient presented abdominal pain, related to eating and associated with nausea and vomiting. After the image exams, it was performed the surgical procedure, without intercurrences. Conclusion:Situs Inversus Totalis is a challenge for surgical approach because of the mirrored configuration of the organs, which can lead to misdiagnosis. Using image exams anda complete evaluation of the patient helps the correct management in caso of surgical procedures, and consequently influence in the prognosis.


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