Anomalous origin of the middle colic artery from the ileocecal artery affecting laparoscopic ascending colon cancer resection

Shoichiro Mukai, MD, PhD; Yasufumi Saitoh; Tomoaki Bekki; Toshiyuki Moriuchi; Yosuke Namba; Sho Okimoto; Koichi Oishi; Toshikatsu Fukuda; Toshihiro Nishida; Hiroyuki Egi; Hideki Ohdan

Radiology Case Reports (May 2021)

Anomalous origin of the middle colic artery from the ileocecal artery affecting laparoscopic ascending colon cancer resection

Shoichiro Mukai, MD, PhD,
Yasufumi Saitoh,
Tomoaki Bekki,
Toshiyuki Moriuchi,
Yosuke Namba,
Sho Okimoto,
Koichi Oishi,
Toshikatsu Fukuda,
Toshihiro Nishida,
Hiroyuki Egi,
Hideki Ohdan

Affiliations

Shoichiro Mukai, MD, PhD: Department of Surgery, Chugokurosai Hospital, 1-5-1, Hirotagaya, Kure City, Hiroshima 737-0193, Japan; Corresponding author.
Yasufumi Saitoh: Department of Surgery, Chugokurosai Hospital, 1-5-1, Hirotagaya, Kure City, Hiroshima 737-0193, Japan
Tomoaki Bekki: Department of Surgery, Chugokurosai Hospital, 1-5-1, Hirotagaya, Kure City, Hiroshima 737-0193, Japan
Toshiyuki Moriuchi: Department of Surgery, Chugokurosai Hospital, 1-5-1, Hirotagaya, Kure City, Hiroshima 737-0193, Japan
Yosuke Namba: Department of Surgery, Chugokurosai Hospital, 1-5-1, Hirotagaya, Kure City, Hiroshima 737-0193, Japan
Sho Okimoto: Department of Surgery, Chugokurosai Hospital, 1-5-1, Hirotagaya, Kure City, Hiroshima 737-0193, Japan
Koichi Oishi: Department of Surgery, Chugokurosai Hospital, 1-5-1, Hirotagaya, Kure City, Hiroshima 737-0193, Japan
Toshikatsu Fukuda: Department of Surgery, Chugokurosai Hospital, 1-5-1, Hirotagaya, Kure City, Hiroshima 737-0193, Japan
Toshihiro Nishida: Department of Pathology, Chugokurosai Hospital, Kure City, Hiroshima, Japan
Hiroyuki Egi: Department of Gastrointestinal Surgery and Surgical Oncology, Ehime University Graduate School of Medicine, Toon city, Ehime, Japan
Hideki Ohdan: Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Minami-ku, Hiroshima, Japan

Journal volume & issue: Vol. 16, no. 5
pp. 1089 – 1094

Abstract

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The anomalies of the middle colic artery have rarely been reported and reviewed in literature. However, in case such anomalies are observed in clinical practice, surgery must still be performed safely. This report presents the case of a 78-years-old female who underwent ileocecal resection and hepatectomy due to ascending colon cancer with liver metastasis. Preoperative abdominal contrast-enhanced computed tomography showed an anomaly of the middle colic artery. Since such anomaly is extremely rare, preoperative evaluation of vascular structure is important for safely performing the surgery.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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