...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Cases Journal >Report of a rare case of colon cancer complicated by anomalies of intestinal rotation and fixation: a case report
【24h】

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

机译：罕见的结肠癌并发肠旋转固定异常病例报告：病例报告

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction 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. Case presentation 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. Conclusion 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 descending colon, by ligature of the right colic artery and vein at the origin from the superior mesenteric vessels. Patent blue guided lymphadenectomy was also performed with curative intent. Finally, a mechanical ileo-colic anastomosis was carried out. After right colectomy and ileo-descending anastomosis, the Ladd's procedure for intestinal malrotation was unnecessary. The authors believe that this strategy, despite the anatomical difficulties, represents an effective procedure for the radical surgical treatment of the right colon cancer associated with anomalies of intestinal rotation and fixation.
机译：简介与肠道旋转和固定异常相关的内脏tus肌是一种极为罕见的疾病。据作者所知，这是与肠蠕动和肠系膜回肠菌相关的结肠癌的首次报道。病例介绍一名34岁的男子，腹泻和体重减轻相关的腹泻病史为2个月，接受了腹部超声检查，结肠镜检查活检和腹部CT扫描，并进行了静脉造影。诊断为右结肠肿瘤，仅在手术中观察到，因为计算机断层扫描或超声检查均未显示出肠道畸形。特别地，十二指肠的第三部分和第四部分垂直下降，而没有Treitz的韧带支撑十二指肠-空肠弯曲。小肠和结肠分别位于腹腔的右侧和左侧。结论由于血管和淋巴管异常，本病内脏反位异常影响了手术策略。因此，淋巴管在肿瘤附近用浆膜下注射漆蓝进行标记。随后，进行右结肠切除术。结肠切除术是通过从肠系膜上血管起源的右结肠动脉和静脉结扎，从回肠远端延伸至降结肠。专利蓝色引导的淋巴结清扫术也可以治愈。最后，进行了机械性回肠结肠吻合术。在右结肠切除术和回肠降序吻合术之后，无需进行Ladd肠扭转手术。作者认为，尽管存在解剖学上的困难，该策略仍是一种有效的手术方法，可对与肠旋转和固定异常相关的右结肠癌进行根治性手术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号