Laparoscopic right hemicolectomy for ascending colon cancer with persistent mesocolon

Persistent ascending or descending mesocolon is an embryological anomaly that occurs during the final process of intestinal development in organogenesis.Specifically,the primitive dorsal mesocolon fails to fuse with the parietal peritoneum in the fifth month of gestation.Herein,we describe a case of...

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Veröffentlicht in:World journal of gastroenterology : WJG 2014-05, Vol.20 (18), p.5557-5560
Hauptverfasser: Tsuruta, Atsushi, Kawai, Akimasa, Oka, Yasuo, Okumura, Hideo, Matsumoto, Hideo, Hirai, Toshihiro, Nakamura, Masafumi
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container_issue 18
container_start_page 5557
container_title World journal of gastroenterology : WJG
container_volume 20
creator Tsuruta, Atsushi
Kawai, Akimasa
Oka, Yasuo
Okumura, Hideo
Matsumoto, Hideo
Hirai, Toshihiro
Nakamura, Masafumi
description Persistent ascending or descending mesocolon is an embryological anomaly that occurs during the final process of intestinal development in organogenesis.Specifically,the primitive dorsal mesocolon fails to fuse with the parietal peritoneum in the fifth month of gestation.Herein,we describe a case of ascending colon cancer with persistent ascending and descending mesocolon treated by laparoscopic right hemicolectomy.Preoperative computed tomography imaging of the abdomen demonstrated that the descending colon shifted at the midline of the abdomen and the sigmoid colon was located under the ascending colon.The detailed preoperative imaging examination revealed malpositioning of the large intestine and aided in the procedural planning.Because persistent mesocolon may result in the formation of abnormal adhesions,an accurate preoperative diagnosis is essential.We propose that it is important to consider this anomaly when making the preoperative imaging diagnosis to ensure a safe operation.
doi_str_mv 10.3748/wjg.v20.i18.5557
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source MEDLINE; Baishideng "World Journal of" online journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects cancer
Case Report
Chemotherapy, Adjuvant
Colectomy - methods
Colon
Colonic Neoplasms - diagnostic imaging
Colonic Neoplasms - pathology
Colonic Neoplasms - surgery
desce
Humans
Laparoscopic
Laparoscopy
Lymphatic Metastasis
Male
Mesocolon - abnormalities
Mesocolon - diagnostic imaging
Mesocolon - surgery
Middle Aged
Persistent
surgery
Tomography, X-Ray Computed
Treatment Outcome
title Laparoscopic right hemicolectomy for ascending colon cancer with persistent mesocolon
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