A case of transverse colon cancer with intestinal malrotation resected by laparoscopy-assisted colectomy

A 79-year-old man tested positive for fecal occult blood in a medical checkup. Colonoscopy showed an elevated tumor in the transverse colon. The biopsied specimen of the tumor was pathologically diagnosed as adenocarcinoma. Barium enema and abdominal computed tomography (CT) revealed that the colon...

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Bibliographic Details
Published inNihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 73; no. 6; pp. 1497 - 1501
Main Authors TOKAI, Hirotaka, MAEDA, Shigeto, NAGATA, Yasuhiro
Format Journal Article
LanguageJapanese
Published Japan Surgical Association 2012
Subjects
intestinal malrotation
laparoscopic surgery
transverse colon cancer
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Summary:A 79-year-old man tested positive for fecal occult blood in a medical checkup. Colonoscopy showed an elevated tumor in the transverse colon. The biopsied specimen of the tumor was pathologically diagnosed as adenocarcinoma. Barium enema and abdominal computed tomography (CT) revealed that the colon was not fixed to the retroperitoneum. Three dimension (3D) - CT angiography showed that the distal portion of the superior mesenteric artery which was considered to be the ileocolic artery, was reversed to the upper right side of the abdomen. The arteries of the small intestine branched from the right side of the SMA. He underwent laparoscopic colectomy based on a diagnosis of transverse colon cancer with non-rotation type of malrotation of the intestine. It is possible safety perform laparoscopic surgery for the cases with anatomical anomalies by simulation, using imaging applications like 3 D-CT angiography.
ISSN:1345-2843
1882-5133
DOI:10.3919/jjsa.73.1497