腸回転異常症を伴った胃癌の１手術例

小川 博臣; 川手 進; 須納瀬 豊; 吉成 大介; 荒川 和久; 戸塚 統; 戸谷 裕之; 佐藤 弘晃; 平井 圭太郎; 竹吉 泉

doi:10.2974/kmj.62.163

CASE REPORTS

A Case of Gastric Cancer with Intestinal Malrotation

Hiroomi Ogawa, Susumu Kawate, Yutaka Sunose, Daisuke Yoshinari, Kazuhisa Arakawa, Osamu Totsuka, Hiroyuki Toya, Hiroaki Sato, Keitaro Hirai, Izumi Takeyoshi

Author information

Hiroomi Ogawa
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Susumu Kawate
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Yutaka Sunose
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Daisuke Yoshinari
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Kazuhisa Arakawa
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Osamu Totsuka
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Hiroyuki Toya
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Hiroaki Sato
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Keitaro Hirai
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
Izumi Takeyoshi
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine

Keywords: intestinal malrotation, gastric cancer, adult

JOURNAL FREE ACCESS

2012 Volume 62 Issue 2 Pages 163-167

DOI https://yz-jsjc-gov-cn-1416.res.gxlib.org.cn:443/rwt/1416/https/MSYXTLUQPJUB/10.2974/kmj.62.163

Details

Abstract

An 86-year-old woman was diagnosed with gastric cancer extending from the cardia to the lower body on gastrointestinal endoscopy. At surgery, it was found that the third portion of duodenum was not fixed to the retroperitoneum and the ligament of Treitz had not formed. Malrotation was diagnosed because the small intestine was located on the right side of the abdomen and the large intestine was located on the left. Ladd's ligament was not present. A total gastrectomy and Roux-en Y reconstruction were performed, but no procedure for malrotation was done. Malrotation is rare in adults and is found incidentally at surgery for malignant tumors. Careful preoperative examination of images is necessary to make the diagnosis. There is no standard opinion regarding the addition of a procedure for malrotation, and this depends on the surgeon's judgment.

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