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Laparoscopic surgery for right colon cancer with intestinal malrotation: A case report and review of the literature

 Institute of Digestive and Hepatobiliary Sciences, Sakra World Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Sadiq S Sikora,
Institute of Digestive and Hepatobiliary Sciences, Sakra World Hospital, SY No. 52/2 and 52/3, Devarabeesanahalli, Opposite Intel, VarthurHobli, Bengaluru - 560 103, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.jmas_252_21

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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    -  Balachandran G
    -  S. Bharathy KG
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04