A Case of Advanced Descending Colon Cancer in an Adult Patient with Intestinal Malrotation

This report presents an operative case of advanced descending colon cancer in an adult patient with intestinal malrotation. A 63-year-old Japanese male was suffering from left side abdominal pain, abdominal distension, and constipation. An endoscopic examination revealed an advanced tumor in the des...

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Bibliographic Details
Published inCase reports in gastrointestinal medicine Vol. 2016; no. 2016; pp. 1 - 5
Main Authors Torigoe, Takayuki, Minagawa, Noritaka, Sawatsubashi, Yusuke, Akiyama, Masaki, Nakayama, Y., Hirata, Keiji
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2016
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Abdomen
Abnormalities
Adults
Care and treatment
Case Report
Case studies
Colleges & universities
Colon cancer
Colorectal cancer
Constipation
Diagnosis
English literature
Environmental health
Hernias
Hospitals
Intestines
Lymphatic system
Patients
Surgery
Tomography
Veins & arteries
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Summary:This report presents an operative case of advanced descending colon cancer in an adult patient with intestinal malrotation. A 63-year-old Japanese male was suffering from left side abdominal pain, abdominal distension, and constipation. An endoscopic examination revealed an advanced tumor in the descending colon. Computed tomography (CT) of the abdomen revealed the thickening of the descending colon wall and superior mesenteric vein rotation. An opaque enema detected severe stenosis of the descending colon. An abdominal X-ray examination revealed the dilation of the colon and small intestine with niveau. At the insertion of an ileus tube, the C-loop of the duodenum was observed to be absent and the small intestine was located on the right side of the abdomen. After the decompression of the bowel contents, laparotomy was performed. Descending colon cancer was observed to have directly invaded the left side of the transverse colon. Left hemicolectomy, lymph node dissection, and appendectomy were performed. The patient had an uneventful recovery and was discharged from the hospital on the 16th day after surgery. This report presents a rare operative case of descending colon cancer in an adult patient with intestinal malrotation.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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Academic Editor: Daniel C. Damin
ISSN:2090-6528
2090-6536
DOI:10.1155/2016/3194056