内脏完全反位临床上非常少见,而合并贲门癌与胆石症者更为罕见。我院曾收治1例内脏完全反位合并贲门癌与胆石症病人,现报道如下。患者男,74岁。因柏油样黑便,以上消化道出血入我院。纤维胃镜检查:贲门口可见菜花状肿块,偏前壁不规则凹陷,约2.0com×1.5cm大小。活检为贲门腺癌。心电图、X线胸片示右位心。B超、CT检查示:肝、胆、胰、脾均反位,胆囊结石。上消化道钡餐检查贲门部粘膜破坏、中断,见钡剂分流,且形成一约3cm ×4cm充盈缺损。诊断为贲门癌。肝、肾功能、电解质正常,血红蛋白11.1g/L,红细胞3.42×10~(12)/L。经术前准备,于2000年6月14日在静脉复合全身麻醉下行贲门癌 Total internal organs inverse clinically very rare, but with cardia cancer and cholelithiasis are more rare. Our hospital had admitted 1 case of visceral total anti-cardia cancer combined with cholelithiasis patients are reported below. Male patient, 74 years old. Due to tarry black, more than gastrointestinal bleeding into our hospital. Fiber gastroscopy: cardia can be seen cauliflower-like mass, uneven anterior concave wall, about 2.0com × 1.5cm size. Biopsy for cardiac adenocarcinoma. ECG, X-ray showed right centroid. B ultrasound, CT examination showed: liver, gallbladder, pancreas, spleen are anti-bit, gallstones. Upper gastrointestinal barium meal cardiac cardia mucosal damage, interruption, see barium shunt, and the formation of about 3cm × 4cm filling defect. Diagnosis of cardia cancer. Liver, kidney function, normal electrolyte, hemoglobin 11.1g / L, red blood cells 3.42 × 10-12 / L. After preoperative preparation, in June 14, 2000 underwent intravenous cardia cancer under general anesthesia