Case Report
 
Adenocarcinoma of the transverse colon and gastrocolic fistula in a patient with situs inversus totalis: A case report
Nathalia Emanuelle Gasparini Magalhães Rodrigues
Medical Doctor, General Surgery Resident, Department of General Surgery, Hospital Regional de Sobradinho, Brasilia, Distrito Federal, Brazil.

Article ID: Z01201608CR10676NR
doi:10.5348/ijcri-201688-CR-10676

Address correspondence to:
Nathalia Emanuelle Gasparini Magalhães Rodrigues
SMDB conjunto 9 lote 3 casa 1, Lago Sul, Brasilia
Distrito Federal
Brazil, Postal code: 71680-090

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How to cite this article
Rodrigues NEGM. Adenocarcinoma of the transverse colon and gastrocolic fistula in a patient with situs inversus totalis: A case report. Int J Case Rep Images 2016;7(8):503–507.


Abstract
Introduction: Situs solitus is the normal position of thoracic and abdominal organs in the human body. Situs inversus is a mirror image of situs solitus. Situs ambiguus is an intermediate arrangement between both. Situs inversus is a rare condition, and usually does not cause any symptoms when isolated. There are a lot of case reports addressing situs inversus totalis (SIT) associated with cancer. However, the relation between both remains unclear. Gastrocolic fistula (GCF) is also a rare condition, and adenocarcinoma of the transverse colon is its most common cause in the Western world.
Case Report: Herein, we report a case of a 61-year-old male with situs inversus totalis associated with adenocarcinoma of the transverse colon and gastrocolic fistula.
Conclusion: The relation between SIT and cancer remains unclear. More studies are necessary to demonstrate it. In contrast, the relation between cancer and GCF is well defined, being the adenocarcinoma of the transverse colon the most common cause of GCF in the Western world.

Keywords: Adenocarcinoma of the transverse colon, Gastrocolic fistula, Situs inversus totalis, Situs solitus


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Author Contributions
Nathalia Emanuelle Gasparini Magalhães Rodrigues – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Nathalia Emanuelle Gasparini Magalhães Rodrigues. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.