We report a case of common bile duct (CBD)
cancer, successfully managed with
pancreaticoduodenectomy, in a patient with
isolated levocardia, malrotation, and situs ambiguous (without splenic anomalies). A 59-year-old male patient was referred to Chung-Ang University Hospital with epigastric
pain and
jaundice. CT and MRI revealed distal CBD
cancer without significant
lymphadenopathy. Multiple abdominal anatomic anomalies were identified preoperatively, whereas no anatomic anomalies were detected within the chest. The patient had a right-sided stomach and spleen, liver at the midline, several vascular variations around the celiac axis, and intestinal malrotation, but the inferior vena cava and portal vein were normal. A
pancreaticoduodenectomy was performed to treat the
cancer. The postoperative course was favorable, and the patient was started on combined
chemotherapy and
radiotherapy 15 days after the surgery. In this case study, we report that pylorus preserving
pancreaticoduodenectomy was successful for distal CBD
cancer in a patient with rare situs anomalies.