Choi Nam Gyu, Moon Ok In, Kim Jin Ha, Lim Sharon, Lim Sung Chul, Lee Jun, Kim Kyung Jong
Department of Surgery, Chosun University School of Medicine, Gwangju, Korea.
J Korean Surg Soc. 2013 Apr;84(4):256-60. doi: 10.4174/jkss.2013.84.4.256. Epub 2013 Mar 26.
The location of the sigmoid colon varies within the abdominal cavity, but its mesocolon is fixed to the left side. Right side fixation of the sigmoid colon is a very rare congenital positional anomaly. In addition, it has been reported that hepatocolic fistula is also a very rare disease that may present lower gastrointestinal bleeding. Here, the authors describe a case of a 71-year-old man who underwent surgery for hepato-sigmoidocolic fistula complicated by hepatocellular carcinoma and the right side fixation of the sigmoid colon.
乙状结肠在腹腔内的位置各异,但其系膜固定于左侧。乙状结肠右侧固定是一种极为罕见的先天性位置异常。此外,据报道肝结肠瘘也是一种可能导致下消化道出血的罕见疾病。在此,作者描述了一例71岁男性患者,该患者因肝细胞癌合并肝乙状结肠瘘及乙状结肠右侧固定而接受手术治疗。