Laparoscopic surgery for appendiceal cancer with intestinal malrotation in an adult: A case report

Hayashi, Hisataka; Matsuhisa, Mamoru; Murase, Yusuke; Sano, Hitoya; Nishio, Kimitosi; Kumazawa, Iwao

doi:10.1016/j.ijscr.2020.12.068

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…Previous studies have reported a lower incidence of type 2 malrotation than the other types, probably because it is unfamiliar to clinicians, includes several subtypes and is less apparent on radiological and intraoperative findings than type 1 or type 3 2 5 8. When found along with colonic cancer, studies have reported either type 1 or type 3 malrotation 9 10…”

Section: Discussionmentioning

confidence: 99%

Anatomical challenge: a rare coexistence of caecal cancer and isolated duodenal malrotation

et al. 2022

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Intestinal malrotation is a congenital anomaly, treated mostly during childhood. A small number of cases are incidentally found in adulthood, during operation for other abdominal diseases, such as colon cancer.Here, we present a case of caecal cancer with isolated duodenal malrotation, a subtype of intestinal malrotation, discovered incidentally during the operation for the cancer. Although the anatomical abnormality made the operation more complicated, laparoscopic resection was safely performed with oncologically adequate lymphadenectomy, owing to intraoperative confirmation of anatomy and careful dissection.

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Section: Discussionmentioning

confidence: 99%

Anatomical challenge: a rare coexistence of caecal cancer and isolated duodenal malrotation

et al. 2022

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“…Studies have suggested that complications arising from right-sided colon cancer can result in chronic intestinal obstruction due to anatomical abnormalities in the colon, leading to inflammation and carcinogenesis [ 8 ]. Right colon cancer occurring in the context of IM is exceedingly uncommon, with only 39 documented cases worldwide [ 2 , 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…An open resection was conducted due to worries about altered anatomy that could pose challenges to a safe resection and abnormal lymphatic drainage that might hinder a thorough lymphadenectomy. Several reports in the literature suggest that laparoscopic hemicolectomy is a safe and reliable approach for patients with right colon cancer and IM [ 2 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Coexistence: Right-Sided Colon Cancer and Intestinal Malrotation in an Adult

Vieira,

Ribeiro,

Sousa

et al. 2024

Cureus

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Intestinal malrotation (IM), a rare congenital anomaly disrupting typical embryonic rotation around the superior mesenteric artery, is exceptionally uncommon in adults, with its link to colon cancer being even rarer. This article presents a case of colonic cancer in conjunction with IM in a 63-year-old male. Image studies and intraoperative findings show signs of IM. Open resection was performed due to concerns about vascular anomalies and abnormal lymphatic drainage. The case underscores the rarity of colon cancer in a malrotated gut, highlighting the necessity of preoperative identification for precise surgical planning and emphasizing the importance of careful dissection to prevent inadvertent vascular injury.

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“…A literature search revealed 59 reported cases of colorectal cancer with IM (excluding situs inversus totalis) from 1970 to 2021, of which 50 cases have been reported from Japan. [ 3 4 5 ] Among these, in 38 instances (64.4%), the tumour was located in the right colon, including the appendix. Laparoscopic resection was only performed in 17 (44.7%) of these patients Table 1 , mainly due to concern for vascular anomalies that may hinder a safe resection and abnormal lymphatic drainage that may impede a complete lymphadenectomy.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery for right colon cancer with intestinal malrotation

Balachandran¹,

Bharathy²,

Sikora³

2022

Journal of Minimal Access Surgery

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Intestinal malrotation (IM) results from abnormal midgut rotation during embryogenesis and usually presents in early infancy. IM in adults is often an incidental radiological diagnosis. Right colon cancer with IM has been sparingly reported in the world literature. Only 44.7% of these documented cases underwent successful laparoscopic resection, all of which were reported from Japan. The presence of aberrant anatomy and altered vascular orientation in IM presents challenges for laparoscopic resection with adequate nodal clearance. We present the case of a 72-year-old female diagnosed with carcinoma of the ascending colon, with IM incidentally detected on pre-operative cross-sectional imaging. She underwent laparoscopic right hemicolectomy. We also reviewed the documented cases of successful laparoscopic surgery for right colon cancers with IM. Aided by accurate delineation of vascular anatomy on pre-operative cross-sectional imaging, laparoscopic colectomy in the setting of IM is safe and feasible, and should be favourably considered.

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Laparoscopic surgery for appendiceal cancer with intestinal malrotation in an adult: A case report

Cited by 5 publications

References 9 publications

Anatomical challenge: a rare coexistence of caecal cancer and isolated duodenal malrotation

Anatomical challenge: a rare coexistence of caecal cancer and isolated duodenal malrotation

An Unusual Coexistence: Right-Sided Colon Cancer and Intestinal Malrotation in an Adult

Laparoscopic surgery for right colon cancer with intestinal malrotation

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