Journal of Nippon Medical School
Online ISSN : 1347-3409
Print ISSN : 1345-4676
ISSN-L : 1345-4676
臨床および実験報告
完全内臓逆位を伴う肝細胞癌の1切除例
柿沼 大輔田尻 孝吉田 寛真々田 裕宏谷合 信彦川野 陽一水口 義昭清水 哲也高橋 翼秋丸 琥甫荒牧 琢己高野 照夫
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2004 年 71 巻 3 号 p. 209-212

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We report a case of hepatocellular carcinoma with situs inversus totalis treated by hepatectomy. A 70-year-old asymptomatic female with hepatocellular carcinomas in segments 5, 6 and 8 underwent transarterial embolization in the department of medicine. However, hepatocellular carcinoma in segment 8 relapsed, and she was referred to the department of surgery. Laboratory tests revealed elevation of serum PIVKA2 level (4,690 ng/mL). Angiography revealed tumor stain in segment 8, 3 cm in diameter. No aberrant vessels were detected on angiography. The operator stood on the patient's left, and partial hepatectomy could be performed safety after careful examination of the anatomy. Although aberrant vessels are detected in many patients with situs inversus totalis, operations can be performed safely on them with sufficient understanding of the anatomy.

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© 2004 日本医科大学医学会
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