A case of cancer of the ampulla of Vater accompanied by malrotation.
Intestinal malrotation is caused by a developmental anomaly of the embryonic intestine. Most cases develop in neonates, and development in adulthood is rare and difficult to diagnose before surgery. Pancreaticoduodenectomy was performed for cancer of the ampulla of Vater accompanied by incomplete fixation in a 63-year-old male patient. A branch of the superior mesenteric artery was present on the resection line and was deemed likely to cause circulatory disorder in the small intestine, and the duodenum and jejunum were covered with a membranous structure making dissection, anatomical identification, and jejunectomy difficult. Herein, we report the case with a review of the literature.
Department of Surgery, Kurume University School of Medicine.
Ryuichi
R
Kawahara
Hiroyuki
H
Horiuchi
Hidefumi
H
Nogita
Masanori
M
Akashi
Kazuhiro
K
Mikagi
Munehiro
M
Yoshitomi
Gen
G
Akasu
Yuhei
Y
Kitasato
Yusuke
Y
Kawashima
Hiroto
H
Ishikawa
Tohru
T
Hisaka
Hisafumi
H
Kinoshita
Hiroyuki
H
Tanaka
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014670:Ampulla of Vater / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D003138:Common Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D004065:Digestive System Abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D004210:Dissection; D004386:Duodenum / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D045822:Intestinal Volvulus / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D007583:Jejunum / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D017538:Mesenteric Artery, Superior / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D009367:Neoplasm Staging; D016577:Pancreaticoduodenectomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome