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Gastric cancer 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

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

Increased wall thickness as tumoral infiltration are seen at gastric cardia and sub cardia. Multiple peri gastric lymphadenopathies are seen with 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 right kidney.
The prostate gland is enlarged. 

Case Discussion

Pathology proven case of gastric cancer in a patient with situs inversus totalis accompanied by dorsal pancreatic agenesis and polysplenia.
 

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