scholarly journals Transverse colonic volvulus due to mesenteric fibromatosis: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Akihiro Yoshida ◽  
Yasutake Uchima ◽  
Naoki Hosaka ◽  
Kosuke Minaga ◽  
Masatoshi Kudo
Keyword(s):  
Transverse Colon ◽  
Colonic Neoplasms ◽  
Right Hemicolectomy ◽  
Large Bowel Obstruction ◽  
Postoperative Recovery ◽  
Thyroid Tumor ◽  
Hepatic Flexure ◽  
Colonic Volvulus ◽  
Mesenteric Fibromatosis ◽  
Histopathological Results

Abstract Background Colonic volvulus, a condition in which a colonic segment partially twists around its base, is the third leading cause of large bowel obstruction after colonic neoplasms and diverticular disease. However, volvulus of the transverse colon is the rarest type of large intestinal volvulus. Moreover, the occurrence of transverse colonic volvulus secondary to a benign tumor originating from outside the intestine has never been reported. We hereby report a case of transverse colonic volvulus caused by mesenteric fibromatosis. Case presentation A 53-year-old female with a history of rheumatoid arthritis and thyroid tumor presented with abdominal pain for 1 day. Abdominal computed tomography revealed intestinal torsion at the hepatic flexure. Twisted and obstructed mucosa of the transverse colon was observed during colonoscopy, but no tumor invasion of the mucosal surface was detected. A solid mass of a mesenteric origin with involvement of the transverse colon was observed during surgery. The mass was diagnosed surgically as transverse colonic volvulus induced by a mesenteric tumor. Hence, the patient underwent a right hemicolectomy. Histopathological results indicated mesenteric desmoid-type fibromatosis. The postoperative recovery was uneventful, and the patient was discharged 8 days after surgery. Conclusions Although mesenteric fibromatosis is rare, this disease should be considered when managing transverse colonic volvulus resulting from nonmucosal tumors.

scholarly journals A case of colonic intussusception and obstruction secondary to giant colonic lipoma

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Yi Ying Law ◽  
Rhea Patel ◽  
Marianne Cusick ◽  
Jeffrey L Van Eps
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Transverse Colon ◽  
Right Hemicolectomy ◽  
Large Bowel Obstruction ◽  
Soft Tissue Tumors ◽  
The Body ◽  
Common Location ◽  
Benign Soft Tissue Tumors ◽  
Colonic Lipoma

Abstract Lipomas are benign soft tissue tumors found throughout the body including the gastrointestinal (GI) tract. Colonic lipomas are typically asymptomatic, incidentally identified during endoscopy or at the time of autopsy. However, giant lipomas larger than 4 cm usually manifest symptoms such as abdominal pain, obstruction, melena or intussusception. The transverse colon is the least common location for colonic lipoma. We report on a 54-year-old man with acute large bowel obstruction secondary to a long segment colo-colonic intussusception from a giant lipoma originating in the transverse colon. The diagnosis was suggested by advanced imaging and confirmed on endoscopy. He was treated successfully by laparoscopic extended right hemicolectomy with ileocolonic anastomosis. This case highlights the complexity of presentation and surgical management of large bowel obstruction and colonic intussusception, as well as the rare entity of giant colonic lipoma.

scholarly journals OV15 EMERGENCY SURGERY OF OBSTRUCTED VENTRAL HERNIA USING TAPP TECHNIQUE: A SAFE AND FEASIBLE APPROACH

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Victor Vaello ◽  
Angela Santana ◽  
Diego Oto ◽  
Luz Juez ◽  
Raquel Arranz ◽  
...  
Keyword(s):  
Elective Surgery ◽  
Intestinal Resection ◽  
Laparoscopic Approach ◽  
Right Hemicolectomy ◽  
Postoperative Recovery ◽  
Preperitoneal Space ◽  
Open Approach ◽  
Emergency Procedures ◽  
Peritoneal Flap ◽  
Ventral Incisional Hernia

Abstract Aim to explain and show the feasibility of laparoscopic TAPP technique in emergency procedures Material and Methods we present a 71-year-old female with personal history of obesity (BMI 32) and a laparoscopic right hemicolectomy performed in 2018, presenting at the ER with a 24-hour intestinal obstruction due to incarcerated ventral incisional hernia. Results laparoscopic reduction of the hernia contents was achieved without need of intestinal resection, prior to access to the preperitoneal space, creating a peritoneal flap that was dissected around the hernia. Following closure of the hernia defect, a polypropylene mesh was placed and the peritoneal flap closed. There were no intraoperative or postoperative events and patient was discharged on 3rd POD. Conclusions laparoscopic approach to emergency hernias in selected patients doesn’t differ from elective surgery, and offers great advantages in terms of evaluation of the incarcerated elements, and postoperative recovery, especially in obese patients where a conventional open approach has higher morbidity.

scholarly journals Metachronous Sigmoid Carcinoma and Mantle Cell Lymphoma in Intestines

2019 ◽  
Vol 13 (1) ◽  
pp. 17-24
Author(s):  
Qiao Yu ◽  
Qiu-Yan Liu ◽  
Dan-Ming  Wei ◽  
Dian-Zhong Luo
Keyword(s):  
Mantle Cell Lymphoma ◽  
Sigmoid Colon ◽  
Transverse Colon ◽  
Cell Lymphoma ◽  
Radical Resection ◽  
Postoperative Recovery ◽  
Single Patient ◽  
Sigmoid Carcinoma ◽  
Mantle Cell ◽  
One Year

It is rare that colon carcinoma and mantle cell lymphoma (MCL) occur one after another in intestines. We found two malignancies of sigmoid carcinoma and MCL in a single patient, who had initially been diagnosed with sigmoid carcinoma and treated with radical resection in our hospital. Good postoperative recovery was reported without recurrence signs, which lasted for 7 years and 5 months until polyps of sigmoid colon were found by colonoscopy. Biopsy and immunohistochemistry revealed MCL, but the patient refused treatment. One year later, MCL was diagnosed again in the transverse colon. The patient is currently under observation and has not received treatment for MCL.

Mesenteric fibromatosis of the transverse colon with the reconstruction of the superior mesenteric arteries: report of a case

Surgery Today ◽  
2012 ◽  
Vol 42 (7) ◽  
pp. 703-707 ◽  
Author(s):  
Makoto Seki ◽  
Rintaro Koga ◽  
Akio Saiura ◽  
Ken Nakagawa ◽  
Kazuyoshi Kawabata ◽  
...  
Keyword(s):  
Transverse Colon ◽  
Mesenteric Arteries ◽  
Mesenteric Fibromatosis

scholarly journals Transverse colon volvulus in a patient with sickle cell disease

2019 ◽  
Vol 12 (3) ◽  
pp. e228863 ◽  
Author(s):  
Hussain Adnan Abdulla ◽  
Eman Hamza ◽  
Ali Dhaif
Keyword(s):  
Sickle Cell Disease ◽  
Intestinal Obstruction ◽  
Sickle Cell ◽  
Transverse Colon ◽  
Unusual Case ◽  
Large Bowel Obstruction ◽  
Cell Disease ◽  
Postoperative Course ◽  
Colon Volvulus ◽  
High Index Of Suspicion

Although colonic volvulus is a relatively rare cause of large bowel obstruction, accounting for up to 5% of all cases of intestinal obstruction, transverse colon volvulus is extremely uncommon compared with volvulus of the sigmoid colon or caecum and is responsible for only 3% of all reported cases. We report an unusual case of spontaneous volvulus of the transverse colon in a young man with sickle cell disease who underwent resection with primary anastamosis. Having a high index of suspicion and early operative intervention allowed for this patient to have an uneventful postoperative course.

scholarly journals Rare presentation of ileocolic intussusception secondary to mantle cell lymphoma

2019 ◽  
Vol 12 (8) ◽  
pp. e229425
Author(s):  
Veeresh Aukhojee ◽  
Creski M Gilong ◽  
Gayatri Seewoogoolam ◽  
Paul N Strauss
Keyword(s):  
Mantle Cell Lymphoma ◽  
Cell Lymphoma ◽  
Adult Population ◽  
Right Hemicolectomy ◽  
Sudden Onset ◽  
Hepatic Flexure ◽  
Ileocolic Intussusception ◽  
Abdominal Ct ◽  
Rare Presentation ◽  
Mantle Cell

Mantle cell lymphoma is a type of B-cell non-Hodgkin’s lymphoma (NHL) and accounts for 3%–6% of all adult NHL.1 2 Bowel intussusception secondary to lymphoma is rare in adults, accounting for only 4% of all cases.3The authors present the case of a 53-year-old man, recently diagnosed with mantle cell lymphoma, who presented with sudden onset right-sided abdominal pain and was found to have ileocolic intussusception up to the hepatic flexure on abdominal CT. He underwent an emergency right hemicolectomy and intraoperatively, the terminal ileum could be seen telescoping into the caecum, up to the hepatic flexure. Although intussusception is uncommon in the adult population, an underlying bowel pathology should always be considered and prompt imaging should be organised to confirm the diagnosis and allow initiation of management in a timely manner.

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