Double Colon Cancer with a Reversed Type Intestinal Malrotation

A 75-year-old man presented with a one-month history of right lower abdominal pain, and was admitted because of bowel obstruction. Abdominal CT scan revealed intestinal malrotation and bowel obstruction, due to a descending colon cancer. An ascending colon cancer was also suspected. A stent was plac...

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Bibliographic Details
Published inThe Japanese Journal of Gastroenterological Surgery Vol. 49; no. 7; pp. 683 - 689
Main Authors Oshiro, Kenichi, Koizumi, Masaru, Takahashi, Daijiro, Maruyama, Hiroyuki, Horie, Hisanaga
Format Journal Article
LanguageJapanese
Published The Japanese Society of Gastroenterological Surgery 01.07.2016
Subjects
colon cancer
intestinal malrotation
reversed type
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Summary:A 75-year-old man presented with a one-month history of right lower abdominal pain, and was admitted because of bowel obstruction. Abdominal CT scan revealed intestinal malrotation and bowel obstruction, due to a descending colon cancer. An ascending colon cancer was also suspected. A stent was placed to dilate the stenotic region, and an ascending colon cancer was then identified. A right hemicolectomy and partial resection of the descending colon were performed. Reversed type intestinal malrotation has been reported in approximately 4% of all patients with intestinal malrotation, which has a prevalence of 1/10,000 people. A treatment approach for preoperative management of double colon cancers with reversed type intestinal malrotation has recently been developed. 3D-CT angiography showed the precise anatomical structure, and colonic stent identified another colon cancer on the oral side of the stenotic region.
ISSN:0386-9768
1348-9372
DOI:10.5833/jjgs.2015.0170