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Case Reports: Unusual association of diseases/symptoms
Anatomical challenge: a rare coexistence of caecal cancer and isolated duodenal malrotation
  1. Akinori Sekioka,
  2. Kunihiko Tsuboi,
  3. Yoko Shono and
  4. Yukito Adachi
  1. Department of Gastroenterological Surgery, Saiseikai Noe Hospital, Osaka, Japan
  1. Correspondence to Dr Akinori Sekioka; akinori-sekioka{at}noe.saiseikai.or.jp

Abstract

Intestinal malrotation is a congenital anomaly, treated mostly during childhood. A small number of cases are incidentally found in adulthood, during operation for other abdominal diseases, such as colon cancer.

Here, we present a case of caecal cancer with isolated duodenal malrotation, a subtype of intestinal malrotation, discovered incidentally during the operation for the cancer. Although the anatomical abnormality made the operation more complicated, laparoscopic resection was safely performed with oncologically adequate lymphadenectomy, owing to intraoperative confirmation of anatomy and careful dissection.

  • Gastrointestinal surgery
  • Colon cancer
  • Congenital disorders

https://doi.org/10.1136/bcr-2022-251627

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    Footnotes

    • Contributors AS: written the abstract, case details and discussion. YS: made substantial contributions to acquisition of data, conception and design. KT: participated in drafting the article and revised it critically. YA: framed the manuscript and helped in writing the discussion.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.