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Techniques in Coloproctology

, Volume 17, Issue 5, pp 601–603 | Cite as

Successful arterial reconstruction and colectomy to treat severe visceral arterial disease with concomitant colon cancer

  • C. E. Redmond
  • R. O’Donohoe
  • D. P. Brophy
  • D. Maguire
  • D. Beddy
Trick of the Trade

Introduction

The standard treatment for colon cancer involves oncological resection of the tumour with adjacent mesentery and lymphatics. A small subset of patients with colon cancer have concomitant abdominal visceral arterial disease and rely on abnormal collateral circulatory pathways to maintain blood supply to the digestive system. Colonic resection in these patients presents technical challenges, as disruption of a collateral vessel can induce visceral infarction. We describe a case of severe visceral arterial occlusion and synchronous colon cancer where routine colectomy would precipitate disastrous consequences.

Surgical technique

A 78-year-old woman was diagnosed with 5 synchronous adenocarcinomas of the colon following a colonoscopy to investigate abnormal liver function tests. She had no abdominal pain. Her past medical history was significant for hypercholesterolaemia and she was a cigarette smoker. She was taking low-dose aspirin as a daily medication.

The largest lesion...

Keywords

Superior Mesenteric Artery Collateral Circulation Inferior Mesenteric Artery Middle Colic Artery Complete Mesocolic Excision 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

None.

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Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  • C. E. Redmond
    • 1
  • R. O’Donohoe
    • 2
  • D. P. Brophy
    • 2
  • D. Maguire
    • 1
  • D. Beddy
    • 1
  1. 1.Department of SurgerySt Vincent’s University HospitalDublin 4Ireland
  2. 2.Department of RadiologySt Vincent’s University HospitalDublin 4Ireland

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