ABSTRACT
Background/
Aim:
Intestinal malrotation (IM) often remains undetected until adulthood, being discovered during testing or
surgery for other comorbidities. Preoperative
understanding of this anatomical abnormality is crucial. Case
Report An 80-year-old
woman presented with
cecal cancer. Three-dimensional computed
tomography (CT) revealed that the
cecum was located at the midline of the
abdominal cavity, the
duodenum did not cross the midline, and the ileocolic
vein ran to the left. Clinically diagnosed with stage IVc
cecal cancer complicated by IM, the
patient underwent
laparoscopic surgery. The
ascending colon and
cecum were not fixed to the retroperitoneum. The
duodenum lacked the second, third, and fourth portions and the small bowel was distributed on the left and right sides of the
abdominal cavity. Adhesions had shortened the
mesentery, which were released close to their normal positions.
Conclusion:
Although
laparoscopic surgery is superior to open
surgery in terms of securing the field of view in a narrow space, providing a magnifying effect, and minimal invasiveness, it has a limited field of view and is inferior in terms of grasping the overall
anatomy, which may be disadvantageous in cases of anatomical
abnormalities.
Colorectal cancer with IM is rare; however, the rate of preoperative
diagnosis seems to be increasing thanks to improvements in
diagnostic imaging, such as three-dimensional CT scans. In this study, we also reviewed 49 cases of
colorectal cancer associated with IM.
