Laparoscopic Resection of Transverse Colon Cancer with an Anomaly of the Middle Colic Artery Originating from the Splenic Artery: A Case Report
Introduction: We encountered a colon cancer case with a very rare anomaly of the middle colic artery (MCA) originating from the splenic artery (SA). Case Presentation: A woman was referred to our hospital for transverse colon cancer. Three-dimensional computed tomography (3D-CT) angiography showed a...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2024-03-01
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| Series: | Case Reports in Gastroenterology |
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| Online Access: | https://beta.karger.com/Article/FullText/536672 |
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| author | Yoshiaki Maeda Nozomi Minagawa Takuya Kato Naoki Okada Takuto Suzuki Chihiro Ishizuka Akihisa Fukuda Yoichi Mori |
| author_facet | Yoshiaki Maeda Nozomi Minagawa Takuya Kato Naoki Okada Takuto Suzuki Chihiro Ishizuka Akihisa Fukuda Yoichi Mori |
| author_sort | Yoshiaki Maeda |
| collection | DOAJ |
| description | Introduction: We encountered a colon cancer case with a very rare anomaly of the middle colic artery (MCA) originating from the splenic artery (SA). Case Presentation: A woman was referred to our hospital for transverse colon cancer. Three-dimensional computed tomography (3D-CT) angiography showed an anomalous MCA originating from the SA rather than from the superior mesenteric artery (SMA) as is typical. Laparoscopic left hemicolectomy with D3 lymph node dissection was performed. The lymph nodes around the SMA were dissected from the caudal view, confirming the absence of a typical MCA. An anomalous SA-originating MCA was identified just below the pancreas, where it was clipped and ligated; subsequently, total mesenteric excision was achieved. Conclusion: As D3 lymph node dissection for transverse colon cancer is technically difficult, 3D-CT angiography is useful for identifying vascular anomalies preoperatively, thereby avoiding intraoperative injury. This is the first case report of laparoscopic colectomy associated with a SA-originating MCA anomaly. |
| first_indexed | 2024-04-24T13:46:19Z |
| format | Article |
| id | doaj.art-9252f9bd8cb14286b3302c64210994cb |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-04-24T13:46:19Z |
| publishDate | 2024-03-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-9252f9bd8cb14286b3302c64210994cb2024-04-04T06:12:57ZengKarger PublishersCase Reports in Gastroenterology1662-06312024-03-0118110510910.1159/000536672536672Laparoscopic Resection of Transverse Colon Cancer with an Anomaly of the Middle Colic Artery Originating from the Splenic Artery: A Case ReportYoshiaki Maeda0Nozomi Minagawa1Takuya Kato2Naoki Okada3Takuto Suzuki4Chihiro Ishizuka5Akihisa Fukuda6Yoichi Mori7Department of Gastrointestinal Surgery, Hokkaido Cancer Center, Sapporo, JapanDepartment of Gastrointestinal Surgery, Hokkaido Cancer Center, Sapporo, JapanDepartment of Gastrointestinal Surgery, Hokkaido Cancer Center, Sapporo, JapanDepartment of Gastrointestinal Surgery, Hokkaido Cancer Center, Sapporo, JapanDepartment of Gastrointestinal Surgery, Hokkaido Cancer Center, Sapporo, JapanDepartment of Gastrointestinal Surgery, Hokkaido Cancer Center, Sapporo, JapanDepartment of Gastrointestinal Surgery, Hokkaido Cancer Center, Sapporo, JapanDepartment of Gastrointestinal Surgery, Hokkaido Cancer Center, Sapporo, JapanIntroduction: We encountered a colon cancer case with a very rare anomaly of the middle colic artery (MCA) originating from the splenic artery (SA). Case Presentation: A woman was referred to our hospital for transverse colon cancer. Three-dimensional computed tomography (3D-CT) angiography showed an anomalous MCA originating from the SA rather than from the superior mesenteric artery (SMA) as is typical. Laparoscopic left hemicolectomy with D3 lymph node dissection was performed. The lymph nodes around the SMA were dissected from the caudal view, confirming the absence of a typical MCA. An anomalous SA-originating MCA was identified just below the pancreas, where it was clipped and ligated; subsequently, total mesenteric excision was achieved. Conclusion: As D3 lymph node dissection for transverse colon cancer is technically difficult, 3D-CT angiography is useful for identifying vascular anomalies preoperatively, thereby avoiding intraoperative injury. This is the first case report of laparoscopic colectomy associated with a SA-originating MCA anomaly.https://beta.karger.com/Article/FullText/536672colon cancermiddle colic arterysplenic arteryanomalylaparoscopic surgery |
| spellingShingle | Yoshiaki Maeda Nozomi Minagawa Takuya Kato Naoki Okada Takuto Suzuki Chihiro Ishizuka Akihisa Fukuda Yoichi Mori Laparoscopic Resection of Transverse Colon Cancer with an Anomaly of the Middle Colic Artery Originating from the Splenic Artery: A Case Report Case Reports in Gastroenterology colon cancer middle colic artery splenic artery anomaly laparoscopic surgery |
| title | Laparoscopic Resection of Transverse Colon Cancer with an Anomaly of the Middle Colic Artery Originating from the Splenic Artery: A Case Report |
| title_full | Laparoscopic Resection of Transverse Colon Cancer with an Anomaly of the Middle Colic Artery Originating from the Splenic Artery: A Case Report |
| title_fullStr | Laparoscopic Resection of Transverse Colon Cancer with an Anomaly of the Middle Colic Artery Originating from the Splenic Artery: A Case Report |
| title_full_unstemmed | Laparoscopic Resection of Transverse Colon Cancer with an Anomaly of the Middle Colic Artery Originating from the Splenic Artery: A Case Report |
| title_short | Laparoscopic Resection of Transverse Colon Cancer with an Anomaly of the Middle Colic Artery Originating from the Splenic Artery: A Case Report |
| title_sort | laparoscopic resection of transverse colon cancer with an anomaly of the middle colic artery originating from the splenic artery a case report |
| topic | colon cancer middle colic artery splenic artery anomaly laparoscopic surgery |
| url | https://beta.karger.com/Article/FullText/536672 |
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