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Metachronous descending colon volvulus after sigmoidectomy: a case report.
J Surg Case Rep
January 2025
School of Medicine, College of Health Sciences, Addis Ababa University, Tikur Anbessa Specialized Hospital, Churchill Avenue, Lideta Sub-City, P.O. Box 5657, Addis Ababa, Ethiopia.
Volvulus is the rotation or twisting of the intestine around its vascular pedicle. The occurrence of descending volvulus after sigmoidectomy is extremely rare. We report a case of a 35-year-old male who presented with abdominal distention, cramping, and no passage of feces or gas for three days.
View Article and Find Full Text PDFProximal Polyps Are Associated With Higher Incidence of Colorectal Cancer: Analysis of the Minnesota Colon Cancer Control Study.
Am J Gastroenterol
December 2024
Division of Environmental Health Sciences, University of Minnesota, Minneapolis, Minnesota, USA.
Introduction: Despite reports indicating that polyps proximal to the splenic flexure have higher rates of metachronous colorectal adenocarcinoma (CRC), the role of adenoma location on surveillance recommendations remains unclear. This study aimed to analyze the association between index polyp location and postcolonoscopy CRC among participants of the Minnesota Colon Cancer Control Study.
Methods: The Minnesota Colon Cancer Control Study randomized 46,551 patients 50-80 years to usual care, annual, or biennial screening with fecal occult-blood testing.
Gastric conduit in patients with previous endoscopic resection of the stomach for esophageal squamous cell carcinoma.
Dis Esophagus
January 2025
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
This study investigated the clinical outcomes of gastric conduits for esophageal reconstruction in esophageal squamous cell carcinoma (ESCC) patients who had previously undergone endoscopic resection of the stomach. From January 2006 to April 2023, a total of 1964 patients underwent surgery for esophageal cancer at our institution. After initially excluding 125 of these cases due to a histology other than ESCC, we identified 147 patients in the remaining population who had previously undergone a gastric endoscopic resection, among which 56 patients (67.
View Article and Find Full Text PDFPractice Patterns and Trends in the Surgical Management of Mismatch Repair Deficient Colon Cancer.
J Surg Res
December 2024
Division of Colon and Rectal Surgery, Yale School of Medicine, New Haven, Connecticut.
Introduction: Defects in the DNA mismatch repair (MMR) pathway can predispose individuals to colorectal cancer (CRC), with germline mutations in this pathway leading to Lynch syndrome. Consequently, universal MMR testing is recommended for all newly diagnosed CRC patients to detect mismatch repair deficient (MMR-D) tumors, enabling informed treatment decisions. Given the increased potential for metachronous disease in patients with Lynch syndrome, the current guidelines for surgical management of Lynch-associated colon cancer recommend extended resection in patients under age 60.
View Article and Find Full Text PDFBladder Adenocarcinoma in a Constellation of Multiple Site Malignancies: An Unusual Case and Systematic Review.
Diagnostics (Basel)
November 2024
Department of Urology, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania.
Background And Objectives: Multiple primary malignant tumors represent a small percentage of the total number of oncological cases and can involve either metachronous or synchronous development and represent challenges in diagnosis, staging, and treatment planning. Our purpose is to present a rare case of bladder adenocarcinoma in a female patient with multiple primary malignant tumors and to provide systematic review of the available literature.
Materials And Methods: A 67-year-old female patient was admitted with altered general condition and anuria.
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