Gastric adenocarcinoma in a patient with situs inversus

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 65 years
Gender: Male
This study is a stack
Axial lung
window
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

All visceral organs are laterally filliped in favor of situs inversus, accompanied by dorsal pancreatic agenesis and polysplenia.

Increased wall thickness due to tumoral infiltration is seen in the gastric cardia and proximal part of the body. The fat planes between the mass and adjacent spleen are preserved. Several perigastric enlarged lymph nodes are seen, with a maximum SAD of 10 mm.

A 20 mm low attenuating lesion is noted at liver parenchyma.

A 14 mm gallstone is present.

A 15 mm simple cortical cyst is noted at the right kidney.

The prostate gland is enlarged. 

Case Discussion

A pathology proven case of gastric adenocarcinoma in a patient with situs inversus totalis accompanied by dorsal pancreatic agenesis and polysplenia.

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