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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch

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Adenocarcinoma in colonic interposition.

Shahar Grunner¹, Hayim Gilshtein, Eliahu Kakiashvili

¹Department of General Surgery, Rambam Health Care Campus, Haifa, Israel ; Division of Trauma and Acute Care Surgery, Rambam Health Care Campus, Haifa, Israel.

Case Reports in Oncology

|April 30, 2013

Summary

A 59-year-old female experienced dysphagia due to a colon obstruction. Surgical intervention included completion gastrectomy and colectomy with Roux-en-Y reconstruction for the obstructing lesion.

Keywords:

Colon adenocarcinoma Colonic interposition Interposed colectomy

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Area of Science:

Gastroenterology
Surgical Oncology
Colorectal Surgery

Background:

A 59-year-old female presented with dysphagia, a history of childhood colonic interposition surgery for anastomotic stricture post-proximal gastrectomy.
The patient had undergone a prior proximal gastrectomy for gastric ulcer perforation.

Observation:

Imaging revealed a space-occupying lesion causing distal obstruction in the interposed colon.
The lesion significantly impacted the patient's swallowing function.

Findings:

Surgical exploration identified the space-occupying lesion obstructing the distal interposed colon.
Completion gastrectomy and segmental colectomy were performed.

Implications:

Roux-en-Y coloenterostomy and enteroenterostomy were successfully reconstructed.
This case highlights management of complex gastrointestinal reconstruction complications.