Annals of Coloproctology

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Case Report

Acute Peritonitis Caused by a Fibrosarcoma of the Transverse Colon in an Adult: Seok Youn Lee, Jung Nam Kwon, Keun Young Kim; Ann Coloproctol. 2014;30(6):280-284. Published online December 31, 2014; DOI: https://doi.org/10.3393/ac.2014.30.6.280

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Abstract PDF: A fibrosarcoma is a malignant mesenchymal tumor derived from fibrous connective tissue. It usually develops in the deep soft tissues of the extremities, as well as the trunk, head, and neck. In extremely rare cases, a fibrosarcoma may occur in the gastrointestinal tract. Most cases of fibrosarcoma in the gastrointestinal tract have been observed in the pediatric age group while only a few cases have been reported in adults. A 61-year-old male presented with pain in the entire abdominal region. Chest radiography showed free air in the subphrenic space. After an emergency operation, we found a solid mass around the transverse colon and performed a segmental resection with a lymphatic dissection of the transverse colon, including the mass. A pathologic examination showed a fibrosarcoma with a perforation. There was no perioperative complication. The patient was discharged on postoperative day 11 and had follow-ups for 1 year without any recurrence.

Original Article

Short-term Clinico-pathological Outcomes of a Laparoscopic Transverse Colectomy for Transverse Colon Cancer.: Lee, Yoon Suk , Lee, In Kyu , Kim, Hyung Jin , Kang, Won Kyoung , Park, Jong Kyuong , Oh, Seung Teak , Kim, Jun Gi , Kim, Young Ha; J Korean Soc Coloproctol. 2008;24(2):107-112.; DOI: https://doi.org/10.3393/jksc.2008.24.2.107

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Abstract PDF

PURPOSE
The COST study trial has demonstrated oncological safety by using laparoscopy for colon cancer. However, in a prior trial, the transverse colon was excluded. Therefore, it has not been determined whether laparoscopy can be used in the setting of transverse colon cancer. Moreover, a transverse colectomy for transverse colon cancer is controversial. This study evaluated the peri-operative and short-term oncological outcomes of a laparoscopic transverse colectomy. METHODS: A retrospective review of patients with colorectal cancer treated using laparoscopy from August 2004 to August 2007 was conducted. Peri-operative and short-term oncological outcomes were compared between an extended right or left colectomy and a transverse colectomy. RESULTS: Of 234 patients, 26 patients underwent laparoscopic surgery for transverse colon cancer. Extended right & left colectom were performed in 20 cases, and a transverse colectomy was performed in 6 cases. There were no significant differences between the two groups in terms of age, gender, BMI, blood loss, time to pass flatus, start of diet, hospital stay, tumor size, number of lymph nodes, and radial margin. The distal and the proximal resection margins of an extended Rt. or Lt. colectomy were longer than those of a transverse colectomy. One transverse colectomy was converted to open surgery because of a T4 lesion of transverse colon cancer. There were no differences between the two groups in terms of morbidity and mortality. CONCLUSIONS: The results of this study show that a laparoscopic transverse colectomy has acceptable peri-operative and short-term oncological outcomes compared to an extended right and left colectomy. However, further investigations are needed to establish the long-term oncological safety of laparoscopic surgery, including transverse colectomy, for transverse colon cancer.

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Lymph Node Metastasis Patterns in Right-Sided Colon Cancers: Is Segmental Resection of These Tumors Oncologically Safe?
In Ja Park, Gyu-Seog Choi, Byung Mo Kang, Kyoung Hoon Lim, Soo Han Jun
Annals of Surgical Oncology.2009; 16(6): 1501. CrossRef

Case Reports

Giant Transverse Colon Diverticulitis Presenting as Indirect Right Inguinal Hernia Strangulation.: Park, Weon Cheol , Lee, Jeong Kyun , Yoon, Seong Eon , Yun, Ki Jung; J Korean Soc Coloproctol. 2006;22(3):200-203.

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Abstract PDF: A giant colonic diverticulum is a rare complication of diverticulosis, and an inguinal hernia is a common diagnosis for patients presenting with a painful groin mass. A 52-year-old male presented to the emergency room with a 3-hour complaint of progressive, constant, right-groin pain with an inguinal mass. After manual reduction of the inguinal hernia, the patient complained of pain in the right upper quadrant. Operative findings showed a transverse colon diverticulitis without perforation. We report here that case of a transverse colon giant diverticulum presenting as an atypical incarcerated inguinal hernia.

A Case of Squamous Cell Carcinoma Arising in the Mature Cystic Teratoma with Direct Invasion to Transverse Colon and Jejunum.: Lee, Do Sang , Song, Moo Hyung , Kim, Wook , Park, Il Young , Won, Jong Man; J Korean Soc Coloproctol. 1998;14(1):149-152.

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Abstract PDF: Malignant degeneration of mature cystic teratoma has been reported in 1~3% of cases, usually between the age of 30 and 70 years with a peak incidence of 40~60 years. The most common malignancy developing in such tumors is squamous cell carcinoma arising in a mature cystic teratoma. Hirakawa reported two patients with benign teratomas diagnosed 25 and 32 years prior to surgery for malignancy and Dorothea reported a patient who was diagnosed as benign teratoma 50 years prior to operate for carcinoma. But there has been no report of squamous cell carcinoma arising in the mature cystic teratoma with direct invasion to gastrointestinal tract. We report a case of squamous cell carcinoma with direct invasion to transverse colon and jejunum in 62-year-old female who was diagnosed as mature cystic teratoma 20 years ago.

A Case of Reverses Rotational Anomaly at the Transverse Colon.: Kim, Wan Soo , Kim, Jin Cheon , Tu, Chang Sik , Kim, Chang Nam , Park, Kun Choon; J Korean Soc Coloproctol. 1997;13(1):157-160.

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Abstract PDF: The authors experienced a case of reversed malrotation of intestinal tract which was discovered unexpectedly during the operation for multiple colonic polyps. The patient was sixty-year-old female who was previously healthy until 8 months before the operation, when she developed tenesmus and constipation. She took segmental resection of sigmoid colon due to adenomas with moderate to severe dysplasia. Her right side of the transverse colon was found to be located within the lesser sac, posterior to the stomach, duodenum and superior mesenteric artery. The other part of the colon were in normal position. Because this congenital anomaly is known to be a rare type among the rotational anomaly with few literature, we report a case with probable interpretation.

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