Transverse carcinoma after Miles operation: a case in which preoperative evaluation was assisted by computed tomographic colonography

There were only few case reports in which CTC was performed in patients with colostomy. A 68-year-old man was admitted with right abdominal pain and bloody stool that had been present for 2 weeks prior to admission. His medical history included abdominoperineal rectal resection with permanent sigmoi...

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Bibliographic Details
Published in:World journal of surgical oncology 2016-04, Vol.14 (114), p.118-118, Article 118
Main Authors: Ito, Daisuke, Teruya, Masanori, Hata, Shojiro, Kobayashi, Kaoru, Kaminishi, Michio
Format: Article
Language:English
Subjects:
Aged
Care and treatment
Case Report
Colectomy - methods
Colon cancer
Colonography, Computed Tomographic - methods
Colonoscopy
Colonoscopy - methods
Colorectal Neoplasms - pathology
Colorectal Neoplasms - surgery
Colostomy - methods
Digestive System Surgical Procedures - methods
Humans
Male
Prognosis
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Summary:There were only few case reports in which CTC was performed in patients with colostomy. A 68-year-old man was admitted with right abdominal pain and bloody stool that had been present for 2 weeks prior to admission. His medical history included abdominoperineal rectal resection with permanent sigmoid stoma (Miles operation). Colonoscopy showed a sub-occlusive tumor in the transverse colon but provided no information about the proximal colon. Thus, computed tomographic colonography (CTC) was planned to assist our examination of the proximal colon under sigmoid colostomy. CTC revealed the apple core sign in the hepatic flexure, without any evident tumor in the proximal colon. Therefore, we performed transverse colectomy and lymph node dissection, preserving a part of the ascending colon and Bauhin valve. CTC examination can be an effective means of preoperatively evaluating the proximal colon in patients with occlusive tumor. Further, CTC examination was technically feasible through a sigmoid stoma.
ISSN:1477-7819
1477-7819
DOI:10.1186/s12957-016-0872-y