PMC10242047_01
Abdominal computed tomography revealed a complete right-left reversal of the abdominal organs: (A) coronal view and (B) axial view.
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The preoperative computed tomography scan revealed SIT in addition to irregular thickening of the gastric wall at the junction of the greater curvature and antrum without metastasis to the lymph nodes ( Figure 1 ).
Port setup.
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Then, two 5-mm trocars were placed at the relative positions on the right side as auxiliary surgical holes ( Figure 2 ).
(A) Dissection of left gastroepiploic vessels. (B, C) Dissection of right gastroepiploic vessels. (D, E) Dissection of right gastric vessels. (F) Dissection of left gastric vessels. (G) Duodenal transection was performed using an endo linear stapler from the assistant port on the right abdomen. (H) Distal gastric transection was performed using an endo linear stapler from the assistant port on the right abdomen. (I) Incision of posterior vaginal wall. (J, K) Transvaginal specimen extraction. (L) Suture of the posterior vaginal wall.
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The left and right gastric vessels were ligated and clipped in the same way ( Figure 3 ).
(A) Postoperative specimen and histology report. (B) The imaging of gastrointestinal tract showing no postoperative anastomotic complications at 7 days after operation.
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The final pathology showed signet-ring cell carcinoma with invasion limited to the mucosal muscle ( Figure 4A ). There were no complications after the operation, and the patient was discharged 7 days after surgery ( Figure 4B ).