Presentation
Abdominal pain and dyspepsia.
Patient Data
![](https://prod-images-static.radiopaedia.org/images/54436292/110181_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/54436371/220249_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/54436441/330069_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/54436573/110054_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/54436655/110062_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/54436292/110181_big_gallery.jpeg)
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.