A case of hepatocellular carcinoma with situs inversus totalis is reported. A 63-year-old man was diagnosed with situs inversus totalis 41 years earlier during an attack of appendicitis. In April 1996, he was admitted to the hospital because of a hepatic tumor in the posterior segment recognized on echography. Based on the results of abdominal angiography, a surgery was performed under a diagnosis of primary liver cancer on June 13.
During the surgery, liver cirrhosis was found to be marked. After the location of the tumor was confirmed by the intraoperative echography, the patient underwent a lower posterior segmentectomy. However, the tumor recurred in the caudate lobe six months after the surgery. TAE (transcatheter arterial embolization) was performed. At present, the patient is followed on an ambulant basis once a month.
This case is the tenth report in the Japanese literature, and the hepatocellular carcinoma with situs inversus totalis is thought to be rare compared with other organ cancers as sociated with this condition.