Petropoulou Thalia, Evangelou Kyriacos, Polydorou Andreas
Robotic Colorectal Surgery, Aretaieio University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Colon and Rectal Surgery, Euroclinic Athens, Athens, GRC.
Cureus. 2024 Apr 11;16(4):e58065. doi: 10.7759/cureus.58065. eCollection 2024 Apr.
Primary liposarcoma of the colon is extremely rare in the literature. We present a case of a 51-year-old male patient with recurrent ascending colon liposarcoma, which caused obstructive ileus, just a few days prior to his scheduled elective operation and led us to expedite his surgery. The procedure was scheduled to be a robotic right colectomy. After finishing the operation and extracting the specimen, the tumour could not be detected; hence, an exploratory laparotomy was performed. Findings were a large tumour in the sigmoid colon, causing complete obstruction. Sigmoidectomy was performed, in order to remove the tumour. To our knowledge, this is the first case published in the literature, reporting a colonic tumour detachment, displacement and causing distal bowel occlusion. This event highlights the importance of careful intraoperative inspection in patients with known intraluminal bowel malignancies that present with signs and symptoms of obstruction and emphasises the need for further research on the risk factors for tumour detachment and subsequent bowel occlusion.
结肠原发性脂肪肉瘤在文献中极为罕见。我们报告一例51岁男性复发性升结肠脂肪肉瘤患者，就在其预定择期手术前几天，该肿瘤导致了肠梗阻，促使我们加快了他的手术进程。手术计划为机器人辅助右半结肠切除术。完成手术并取出标本后，未检测到肿瘤；因此，进行了剖腹探查术。结果发现乙状结肠有一个大肿瘤，导致完全梗阻。为切除肿瘤进行了乙状结肠切除术。据我们所知，这是文献中首次报道的结肠肿瘤脱离、移位并导致远端肠管梗阻的病例。这一事件凸显了对已知存在肠腔内恶性肿瘤且出现梗阻体征和症状的患者进行仔细术中检查的重要性，并强调了对肿瘤脱离及随后肠管梗阻的危险因素进行进一步研究的必要性。
