J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 3550KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 86(1): 111-115, 1985

Original article

PANCREAS HEAD CARCINOMA ASSOCIATED WITH SITUS INVERSUS VISCERUM TOTALIS

The Department of Surgery, Saiseikai-Kawaguchi General Hospital, Saitama, Japan

Osamu Sakaguchi, Hiroshi Kamio, Hideki Sakurai, Kazuhide Kumagai, Eiichi Kobayashi, Norio Kakita, Matsuzo Tsuchidate, Kazuo Sakai

The patient was a seventy seven years old male whose chief complaint was jaundice. Chest and abdomen roentgenogram showed situs inversus viscerum totalis. Echographically, pancreas head tumor was showed. Stenosis of inferior bile duct and dilatation of main pancreatic duct were showed by percutaneous transhepatic cholangiography and endoscopic retrograde cholangio pancreaticography. So, pancreas head carcinoma associated with situs inversus viscerum totalis was diagnosed. Pancreaticoduodenectomy and modified Child method was undergone. At the time of operation, liver was recognized left side of abdomen. The tumor was diagnosed well or moderately differentiated papillotubular adenocarcinoma by pathological study.
This unusual combination of situs inversus viscerum totalis and pancreas head carcinoma was reported.

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