Document Type : Case reports
Author
Surgery Resident, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
Background: The surgical management of obstructive colon cancers especially those presenting with acute obstruction, is still challenging. Since, the emergent colectomy in cases of unresectable tumors or frozen abdomen, has been reported with high rates of mortality and morbidity. Application of a diverting stoma significantly alleviates the symptoms and prevents further intestinal necrosis and perforation.
Case presentation: In this Report a case of unresectable obstructive colon cancer is presented. During the operation, an asymptomatic Meckels Diverticulum (MD) was found which used to be formed as a diverting ileostomy.
Conclusion: We advocate our experience of using incidental MD for constructing a diverting stoma for an obstructive colon cancer
Keywords
- Gainant A. Emergency management of acute colon cancer obstruction. J Visc Surg. 2012;149(1):e3-e10. doi: 10.1016/j.jviscsurg.2011.11.003. [PMID: 22189474].
- Yang X-F, Pan K. Diagnosis and management of acute complications in patients with colon cancer: bleeding, obstruction, and perforation. Chin J Cancer Res. 2014;26(3):331-40. doi: 10.3978/j.issn.1000-9604.2014.06.11. [PMID: 25035661].
- Freeman HJ. Meckel's diverticulum in Crohn's disease. Can J Gastroenterol. 2001;15(5):308-11. doi: 10.1155/2001/108610.[ PMID: 11381298]
- Rahmat S, Sangle P, Sandhu O, Aftab Z, Khan S. Does an Incidental Meckel's Diverticulum Warrant Resection?. Cureus. 2020;12(9). e10307. doi: 10.7759/cureus.10307. [PMID: 32923303].
- Sarkardeh M, Sani SJD. Intestinal Obstruction by Meckel’s Diverticulum in a 92 Years Old Woman. Case Rep Surg. 2020;2020: 9303059 doi: 10.1155/2020/9303059 . [PMID: 32551147]
- Tartaglia D, Cremonini C, Strambi S, Ginesini M, Biloslavo A, Paiano L, et al. Incidentally discovered Meckel's diverticulum: should I stay or should I go? ANZ J Surg. 2020;90(9):1694-9.doi: 10.1111/ans.16189.
- Robijn J, Sebrechts E, Miserez M. Management of incidentally found Meckel’s diverticulum a new approach: resection based on a Risk Score. Acta Chi Belg. 2006;106(4):467-70. doi: 10.1080/00015458.2006.11679933. [PMID: 17017710].
- Wyczolkowski M, Klima W, Kotuła J, Malik L. Meckel’s diverticulum as the site of implanting ureter to the Bricker segment after radical cystectomy. J Urol. 2003;169(1):285. doi: 10.1097/01.ju.0000042061.39171.6a.[ PMID: 12478163]
- Cullen N, Alshafei A, Quinn F. A modified Monti procedure using a Meckel's diverticulum. J Pediatr Surg Case Rep . 2020;57:101465. doi: 10.1016/j.epsc.2020.101465.
- GOTSADZE D, PIRTSKHALAISHVILI G. Meckel's diverticulum as a continence mechanism. The Journal of urology. 1998[m1] ;160(3 Part 1):831-2.
- Polm PD, de Kort LM, de Jong TP, Dik P. Techniques used to create continent catheterizable channels: a comparison of long-term results in children. Urology. 2017;110:192-5. doi: 10.1016/j.urology.2017.08.030. [PMID: 28864341].
- Szymanski K, Lopez P-J, Corbetta J, Reed F, Ruiz J, Pullin Y, et al. Do anterior catheterizable urinary channels have fewer complications than posterior channels? An international cohort study. J Pediator Urol. 2018;14(1):48. 1-7. doi: 10.1016/j.jpurol.2017.06.020. [PMID: 28822627].
- Spiridakis KG, Sfakianakis EE, Flamourakis ME, Theodoros MC, Rahmanis EK, Polychronaki EM, et al. Dysfunctional loop ileostomy after low anterior resection for rectal cancer in the presence of Meckel’s diverticulum: a case report. J Med Case Rep. 2015;9(1):192. doi: 10.1186/s13256-015-0673-x. [PMID: 26353755].
- Zani A, Eaton S, Rees CM, Pierro A. Incidentally detected Meckel diverticulum: to resect or not to resect? Ann Surg. 2008;247(2):276-81. doi: 10.1097/SLA.0b013e31815aaaf8. [PMID: 18216533].
- Sheena Y, Shepherd A, Hameed W, El-Rabaa S. Meckel’s diverticulum: an alternative conduit to defunctioning ileostomy after a low anterior resection for rectal cancer. IJMD. 2011;1:122-3.
- Yang X-F, Pan K. Diagnosis and management of acute complications in patients with colon cancer: bleeding, obstruction, and perforation. Chinese Journal of Cancer Research. 2014;26(3):331.
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