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Updated: May 20, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Reversed intestinal malrotation with concurrent cecal carcinoma.

M Morimoto¹, H Horie, H Kumano

¹Department of Surgery, Jichi Medical University, Tochigi, Japan. mittyone2000@yahoo.co.jp

Asian Journal of Endoscopic Surgery

|July 25, 2012

Summary

This case report details a rare instance of reversed intestinal malrotation diagnosed concurrently with cecal cancer. Surgical intervention involved a laparoscopic-assisted ileocecal resection for the cancer.

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Area of Science:

Gastroenterology
Surgical Oncology
Radiology

Background:

Intestinal malrotation is a congenital anomaly where intestines fail to properly rotate during fetal development.
Reversed intestinal malrotation, a specific type, presents unique anatomical challenges.
Concurrent diagnosis of cecal cancer with reversed intestinal malrotation is exceptionally rare.

Observation:

A 57-year-old male presented with type 2 cecal cancer.
Preoperative CT imaging suggested intestinal malrotation due to the positioning of the superior mesenteric vein and artery.
Intraoperative findings confirmed reversed intestinal malrotation with the cecum and transverse colon abnormally positioned.

Findings:

Laparoscopic-assisted ileocecal resection was successfully performed for the cecal cancer.
Postoperative 3D-CT colonography and duodenography confirmed the diagnosis of reversed intestinal malrotation.
The imaging clearly delineated the abnormal intestinal anatomy and orientation.

Implications:

This case highlights the importance of recognizing rare congenital anomalies in cancer patients.
Accurate preoperative diagnosis and surgical planning are crucial for managing complex cases.
Laparoscopic approaches can be effective even in the presence of significant anatomical variations.