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Updated: May 20, 2026
08:49
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.
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.
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