Colon cancer in a young adult with intestinal malrotation: a case report

Author Info

Derek Lumbard Marek AP

Corresponding Author

Derek Lumbard
Department of Surgery, Hennepin Healthcare, Minneapolis, Minnesota

A B S T R A C T

Background Intestinal malrotation is a congenital anomaly defined as a deviation from the normal 270-degree counterclockwise rotation around the SMA axis during embryologic development. The incidence in adults is only 0.2% with a majority of symptomatic cases diagnosed shortly after birth. Moreover, intestinal malrotation in adults associated with colon cancer is extremely rare with few case reports in the literature. Case Presentation We report a 28 year-old male a bowel obstruction and concern for malrotation of the midgut. He was taken for emergent exploratory laparotomy, finding dense adhesions and strictured transverse colon at the transition point. He underwent resection, primary anastomosis and a Ladd’s procedure. The pathology report revealed a moderate to well-differentiated adenocarcinoma with invasion through the muscularis propria (T3) with positive lymph nodes. He completed 20 cycles of chemotherapy. Conclusion This report represents the first case to our knowledge of colon cancer associated with intestinal malrotation found in an adult under the age of thirty. A possible cause of these cases associated with malrotation is chronic inflammation.

Article Info

Article Type

Case Report

Publication history

Received: Sun 17, Feb 2019
Accepted: Mon 11, Mar 2019
Published: Fri 29, Mar 2019

Copyright

© 2023 Derek Lumbard. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2019.02.002