Colon cancer complicated by vascular and intestinal anomaly.
We present a case of colon cancer in a patient with an anomalous mesenteric artery, a middle mesenteric artery, associated with intestinal nonrotation. At surgery for such a rare case, an exact grasp of the feeding artery, the draining vein, and the lymphatic flow of the tumor is necessary to perform appropriate bowel resection and oncological nodal dissection. Selective angiography and preoperative endoscopic submucosal injection of India ink near the tumor were thought to be essential for surgical decision-making.
Uchida
Hiroaki
H
Division of Surgical Oncology, Department of Surgery, The University of Tokyo, Tokyo, Japan.
Kawamura
Yutaka J
YJ
Takegami
Kenji
K
Matsuda
Keiji
K
Watanabe
Toshiaki
T
Masaki
Tadahiko
T
Minami
Manabu
M
Muto
Tetsuichiro
T
D003106:Colon / Q000473:pathology; D003110:Colonic Neoplasms / Q000098:blood supply / Q000150:complications* / Q000000981:diagnostic imaging; D003251:Constriction, Pathologic; D006801:Humans; D008297:Male; D008638:Mesenteric Arteries / Q000002:abnormalities*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed