A CASE OF MICROCARCINOMA OF THE STOMACH WITH LEFT SIDE GALLBLADDER, PREDUODENAL PORTAL VEIN, INTESTINAL MALROTATION AND POLYSPLEEN

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 62; no. 6; pp. 1447 - 1452
• Main Authors: TSUCHIYA, Masaru, KANEKO, Hironori, MIKI, Yoshitaka, SEIMIYA, Seiji, TAKAGI, Sumito, SHIBA, Tadaaki
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 25.06.2001
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.62.1447

We experienced a very rare case of microcarcinoma of the stomach with left side gallbladder, preduodenal portal vein, intestinal malrotation, and polyspleen in an adult. A 43-year-old woman was admitted to the hospital for the purpose of operation for gastric cancer, which was detected while she was followed up for gastric cancer. During the operation, the gallbladder was found to be located in the liver bed at the lateral segment of the liver, the duodenum was located at the back of the portal vein with intestinal malrotation, and polyspleen was detected. A distal gastrectomy with reconstraction by B-I method was performed. We conclude that left side gallbladder is rare in adults, and it is often combined with abdominal organ anomalies and is incidentally found during operation in most cases. We surgeons should be aware of possible variables or abnormal anatomy and attention should be paid to avoid complications.