非還納性upside down stomachを呈した進行胃癌の１例

Abstract

Municipal General HospitalAn 83-year-old woman was referred to our hospital with the chief complaints of anorexia and nausea.Upper gastrointestinal endoscopy revealed advanced gastric cancer of the gastric body. Abdominal CT revealed an upside-down stomach (UDS). The tumor short diameter was greater than the diameter of the esophageal hiatal hernial orifice, suggesting that the tumor was incarcerated. We diagnosed the patient as having esophageal hiatal hernia with incarcerated UDS with advanced gastric cancer, and performed distal gastrectomy and esophageal hiatus suture. Although gastric cancer with an UDS is rare, there is a possibility of incarcerated hernia in cases of advanced gastric cancer. Therefore, it is necessary to select the surgical approach and method for each case taking into account the relationship between the UDS and gastric cancer.