Skip to main content
SpringerLink
Log in

Radical Esophagectomy for a Patient with Reversed Intestinal Rotation and Complicated Vascular Anomalies in the Abdomen

  • GI Image
  • Published:
Journal of Gastrointestinal Surgery Aims and scope

Abstract

We report a patient of lower esophageal carcinoma with reversed intestinal rotation and major vascular anomalies including pre-duodenal pre-pancreatic portal vein, absence of the confluence of the splenic vein with the superior mesenteric vein, and deficiency of the common hepatic artery. We performed subtotal esophagectomy with three-field lymphadenectomy following reconstruction with the stomach. The postoperative course was uneventful. This might be the first case that had such complicated anatomical anomalies and radical esophagectomy was performed. As we had preoperatively recognized these anatomical anomalies on radiographic examinations, we could successfully perform esophagectomy and reconstruction without any complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Zissin R, Rathaus V, Oscadchy A, Kots E, Gayer G, Shapiro-Feinberg M. Intestinal malrotation as an incidental finding on CT in adults. Abdom Imaging. 1999;24:550-555.

    Article  PubMed  CAS  Google Scholar 

  2. Pickhardt PJ, Bhalla S. Intestinal malrotation in adolescents and adults: spectrum of clinical and imaging features. AJR Am J Roentgenol. 2002;179:1429-1435.

    PubMed  Google Scholar 

  3. Stinger DA. Pediatric gastrointestinal imaging. Philadelphia: BC Decker; 1989:235–9.

    Google Scholar 

  4. Amir-Jahed AK. Classification of reversed intestinal rotation. Surgery. 1968;64:1071-1074.

    PubMed  CAS  Google Scholar 

  5. Torres AM, Ziegler MM. Malrotation of the intestine. World J Surg. 1993;17:326-331.

    Article  PubMed  CAS  Google Scholar 

  6. DePrima SJ, Hardy DC, Brant WE. Reversed intestinal rotation. Radiology. 1985;157:603-604.

    PubMed  CAS  Google Scholar 

  7. Pearlman NW, Collins JS, Campbell DN, Anderson JT. Prearterial reversed midgut rotation. Arch Surg. 1981;116:1084-1087.

    PubMed  CAS  Google Scholar 

  8. O'Connell PR, Lynch G. Reversed intestinal rotation associated with anomalous mesenteric venous drainage. Report of a case. Dis Colon Rectum. 1990;33:883-885.

    Article  PubMed  Google Scholar 

  9. Blough JB, Smith PD. Malrotation of the midgut associated with absence of superior mesenteric vein outflow. Am J Surg. 1964;108:409-411.

    Article  PubMed  CAS  Google Scholar 

  10. Ninomiya I, Osugi H, Fujimura T, Kayahara M, Takamura H, Takemura M, Lee S, Nakagawara H, Nishimura G, Ohta T. Results of video-assisted thoracoscopic surgery for esophageal cancer during the induction period. Gen Thorac Cardiovasc Surg. 2008;56:119-125.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan

    Isamu Makino, Itasu Ninomiya, Takashi Fujimura, Jun Kinoshita, Keishi Nakamura, Katsunobu Oyama, Hideto Fujita, Sachio Fushida, Masato Kayahara & Tetsuo Ohta

Authors
  1. Isamu Makino
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Itasu Ninomiya
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Takashi Fujimura
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jun Kinoshita
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Keishi Nakamura
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Katsunobu Oyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Hideto Fujita
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Sachio Fushida
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Masato Kayahara
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Tetsuo Ohta
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Isamu Makino.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Makino, I., Ninomiya, I., Fujimura, T. et al. Radical Esophagectomy for a Patient with Reversed Intestinal Rotation and Complicated Vascular Anomalies in the Abdomen. J Gastrointest Surg 15, 229–231 (2011). https://doi.org/10.1007/s11605-010-1239-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11605-010-1239-2

Keywords

Search

Navigation