Aleter Ammar, Taha Reham A, Khawar Mahwish, Yousif M, Kurer Mohamed A
Colorectal Surgery Unit, Department of Surgery, Hamad Medical Corporation, Doha, QAT.
College of Medicine, Qatar University, Doha, QAT.
Cureus. 2024 Jul 29;16(7):e65688. doi: 10.7759/cureus.65688. eCollection 2024 Jul.
Intestinal malrotation is an infrequent congenital anomaly. Its presentation in adults is rare, and it is usually discovered incidentally. This article presents an extremely rare case of an adult patient presenting with obstructing colon cancer associated with intestinal malrotation. This is the ninth case to be published in the past 40 years. After proper resuscitation and imaging, an open resection was performed for the patient due to unresolving obstruction and significant abdominal distention. This case highlights the rarity of colon cancer in a malrotated gut and the importance of preoperative evaluation of the unique anatomy before surgical intervention. It also discusses the possible surgical options for such patients with obstruction due to colon cancer causing suboptimal circumstances for both minimally invasive intervention and reestablishment of bowel continuity.
肠旋转不良是一种罕见的先天性异常。其在成人中的表现罕见，通常是偶然发现。本文介绍了一例极其罕见的成年患者，该患者患有与肠旋转不良相关的梗阻性结肠癌。这是过去40年中发表的第九例病例。经过适当的复苏和影像学检查后，由于梗阻未缓解且腹胀明显，对该患者进行了开放切除术。该病例凸显了旋转不良肠道中结肠癌的罕见性以及手术干预前对独特解剖结构进行术前评估的重要性。它还讨论了对于此类因结肠癌导致梗阻的患者，在微创干预和恢复肠道连续性的条件都不理想的情况下可能的手术选择。
