A Case of Cecum Carcinoma with Intestinal Reverse Malrotation

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  • Reversed typeの成人腸回転異常症のため胃と瘻孔を形成した盲腸癌の1例

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Abstract

We report extremely rare cecal carcinoma with reverse intestinal malrotation. A 73–year–old man seen for right abdominal pain and weight loss was found in gastric fibroscopy to have a gastric pus accumulation. He was diagnosed with cecal carcinoma, panting stomach, and reverse intestinal malrotation. Abdominal computed tomography (CT) showed that the jejunum passed the ventral superior mesenteric artery. Laparotomy showed the small intestine located ventral to the superior mesenteric artery and the transverse colon dorsal to the superior mesenteric artery—signs of reverse rotation. The man underwent distal gastrectomy and right hemicolectomy. Reversed intestinal rotation is very rarely in adults

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