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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
PubMed

Insights

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.

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.

Keywords:
Colon adenocarcinomaColonic interpositionInterposed colectomy

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