Report of a rare case of colon cancer complicated by anomalies of intestinal rotation and fixation: a case report.

Cases Journal
Antonio BrillantinoNatale Di Martino

Abstract

The Situs viscerum inversus associated with anomalies of intestinal rotation and fixation is an extremely rare condition. To the authors' knowledge, this is the first report of colon cancer associated with intestinal malrotation and mesenterium ileocolicum commune. A 34-year-old man with a 2-month history of diarrhea associated with abdominal pain and weight loss underwent abdominal ultrasonography, colonscopy with biopsies and abdominal computed tomography scan with intravenous contrast. A right colonic neoplasm was diagnosed, observed only at surgery, as neither computed tomography or ultrasonography showed the intestinal malrotation. Particularly, the third and the fourth part of the duodenum descended vertically, without Treitz's ligament in support to the duodeno-jejunal flexure. The small bowel and the colon were located in the right and left side of the abdominal cavity, respectively. The anomaly of situs viscerum inversus influenced the surgical strategy in this case because of the vascular and lymphatic anomalies. Lymphatic vessels were therefore marked with subserosal injection of patent blue in the proximity of the tumor. Subsequently, right colectomy was performed. Colectomy extended from the distal ileum to the des...Continue Reading

References

Mar 1, 1989·The American Journal of Emergency Medicine·D Stueland
May 1, 1996·Surgery·M SatoS Kimura
Jan 22, 2009·Cancer Science·Seigo Kitano, Masafumi Inomata

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Citations

Aug 29, 2013·Case Reports in Surgery·Michael DonaireMarc K Wallack
Jan 16, 2014·The Indian Journal of Surgery·Yasumitsu HiranoYasuo Hashizume
Feb 18, 2016·The Indian Journal of Surgery·Dipankar Ray, Mitsuaki Morimoto
Apr 5, 2016·Case Reports in Gastrointestinal Medicine·Yoshifumi NakayamaKeiji Hirata
Mar 22, 2013·World Journal of Gastrointestinal Surgery·Yasuo SumiYoshihiro Kakeji

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Methods Mentioned

BETA
biopsy
dissection

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