Right Lobectomy (Located to the Left Side) Including the Middle Hepatic Vein with Combined Resection of the Caudate Lobe for Hepatocellular Carcinoma in a Patient with Situs Inversus Viscerum Totalis

  • Seiki Tashiro
  • Hidenori Miyake


The prevalence of situs inversus in the general population has been estimated to be between 0.002% and 0.1%.1 Three anatomic variations have been described: situs inversus totalis (complete abdominal and thoracic situs inversus); abdominal situs inversus with levocardia; and partial situs inversus.2 Within each of these general classifications, variations of intestinal anatomy, solid-organ orientation, and vascular anatomy occur with considerable frequency, such that the precise anatomy in any given individual with situs inversus is difficult to predict.


Portal Vein Hepatic Artery Hepatic Vein Hepatic Duct Tumor Thrombus 


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  1. 1.
    Blegan HM (1949) Surgery in situs inversus. Ann Surg 129:244–259CrossRefGoogle Scholar
  2. 2.
    Madsen MS, Sommer H, Petersen TH, Friis J, Moesgaard F (1985) Variceal bleeding caused by segmental portal hypertension in association with situs inversus and malrotation. Ann Chir Gynaecol 74:185–187Google Scholar
  3. 3.
    Liver Cancer Study Group of Japan (ed.) (1997) Classification of primary liver cancer, first English edition. Kanehara, TokyoGoogle Scholar

Copyright information

© Springer Japan 2004

Authors and Affiliations

  • Seiki Tashiro
    • 1
  • Hidenori Miyake
    • 1
  1. 1.The University of Tokushima School of MedicineTokushimaJapan

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