A Case of Cecum Carcinoma with Intestinal Reverse Malrotation

Kokubo, Kentaro; Hayashi, Masatoshi; Iida, Yutaka; Tochii, Koya; Fujita, Shuhei; Imoto, Shigenobu; Katagiri, Yuki

doi:10.4030/jjcs.36.965

Cited by 4 publications

(1 citation statement)

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“…The upper gastrointestinal series has 80% sensitivity. Recently, a CECT scan with a thorough examination of the images has become a standard investigation [8]. Laparoscopic resection with lymph nodal dissection can be done with caution with prior planning based on the imaging to avoid damage to anomalous SMA and SMV [6,9,10].…”

Section: Discussionmentioning

confidence: 99%

Colon cancer in malrotated gut: A case report

Gupta¹,

Sahu²,

Bhattacharya³

et al. 2021

Indian J Case Reports

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Malrotation of the gut is a rare congenital anomaly that mostly presents in the 1st month of life. Very rarely, it is found during adulthood either as an asymptomatic incidental finding or at autopsy. Presenting in adulthood with colon cancers is extremely rare. Here, we present the case of a middle-aged male patient with unexplained anemia which on investigation was found to have adenocarcinoma at the hepatic flexure of the colon. The staging computed tomography scan of the abdomen showed the growth at the hepatic flexure with malrotation of the gut. During the laparoscopic assessment, the cecum and ascending colon were found on the left side, and hence, a formal midline incision was made. Cecum was found on the left of the midline along with Ladd’s band. Extended right hemicolectomy was performed, dividing the Ladd’s band, taking care of the anomalous position of superior mesenteric vessels. The post-operative period was uneventful. Histopathological examination revealed this to be well-differentiated adenocarcinoma (pT3N1b). He thereafter received adjuvant chemotherapy and remains well after 5 years of follow-up. Presentation of malrotation of the gut in adulthood is seen in only 10–15% of cases as an incidental finding or at autopsy. Cancers in the colon in these patients are extremely rare. The treatment for colon cancer remains the same although one has to be careful about the vascular anomaly during the resection.

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Section: Discussionmentioning

confidence: 99%

Colon cancer in malrotated gut: A case report

Gupta¹,

Sahu²,

Bhattacharya³

et al. 2021

Indian J Case Reports

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Malrotation of the Intestine in Adult and Colorectal Cancer

Ray

Morimoto

2015

Indian J Surg

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Malrotation of the gut is a congenital anomaly and usually presents in childhood. Rarely, it may present in adults. Patients may be asymptomatic, and malrotation is detected during investigations, operation or autopsy. It can cause longstanding abdominal symptoms like pain, dyspepsia or acute abdomen due to volvulus. In adults, malrotation is found with different gastrointestinal malignancies like gastric, hepatobiliary, pancreatic and, in particular, colorectal neoplasms. We are reporting a case of 60-year-old female presented with carcinoma caecum along with malrotation of the gut. It is the first case report from India. We also reviewed documented cases of malrotation associated with colorectal malignancies. A large number of cases have been reported in Japan as compared to rest of the world. Malrotation in adults is probably associated with gastrointestinal malignancies. Possible causes of this association can be genetic factors or gut changes like chronic inflammation. These associations need further study to consider intestinal malrotation as premalignant lesion which may be very important in follow-up of children with malrotation.

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