Hepatic Segrnentectomy on Primary Liver Cancer with Situs Inversus Totalis

Abstract

We present the first case treated by hepatic segmentectomy in a 69-year-old woman with primary liver cancer and situs inversus totalis. The situs inversus did not cause any technical problems during the operation, which was conducted under guidance of intraoperative ultrasonography.

A case of concomitant intralobar bronchopulmonary sequestration and situs inversus totalis

“…In complete situs or situs inversus totalis, both the thoracic and abdominal viscera are transposed. This condition has an incidence of 0.01% to 0.02% .…”

Hepatocellular carcinoma with situs inversus totalis and polysplenia syndrome

“…Although a few cases of SIT with concomitant malignancies have been reported, SIT is not considered to be a premalignant entity. To our knowledge, only four HCC cases have been reported in association with SIT (3–6), but none of them was complicated by PS, and hence the present case is the first case of HCC with SIT and PS. Our case is also complicated by hemiazygos continuation of the IVC with absence of the hepatic segment, which is the second most frequent anomaly of PS (7).…”

Hepatic Resection for Metastatic Colon Cancer in Patients with Situs Inversus Totalis Complicated by Multiple Anomalies of the Hepatobiliary System: The First Case Report

“…6,7,[9][10][11] Three of these cases showed hepatic artery variations. In one case, the left hepatic artery arose from the left gastric artery.…”