Published in:
01-10-2013 | Trick of the Trade
Successful arterial reconstruction and colectomy to treat severe visceral arterial disease with concomitant colon cancer
Authors:
C. E. Redmond, R. O’Donohoe, D. P. Brophy, D. Maguire, D. Beddy
Published in:
Techniques in Coloproctology
|
Issue 5/2013
Login to get access
Excerpt
The standard treatment for colon cancer involves oncological resection of the tumour with adjacent mesentery and lymphatics. A small subset of patients with colon cancer have concomitant abdominal visceral arterial disease and rely on abnormal collateral circulatory pathways to maintain blood supply to the digestive system. Colonic resection in these patients presents technical challenges, as disruption of a collateral vessel can induce visceral infarction. We describe a case of severe visceral arterial occlusion and synchronous colon cancer where routine colectomy would precipitate disastrous consequences. …