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Japanese

A case of curative laparoscopic resection of rectal cancer complicated by pelvic arteriovenous malformations Koki TAKEDA 1 , Taishi HATA 1 , Junichi NISHIMURA 1 , Tsunekazu MIZUSHIMA 1 , Yuichiro DOKI 1 , Masaki MORI 1 1Department of Gastroenterological Surgery,Osaka University Graduate School of Medicine Keyword: 動静脈奇形 , 大腸癌 , 腹腔鏡下手術 pp.47-52
Published Date 2017/1/15
DOI https://doi.org/10.11477/mf.4426200357
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 The subject, a 58-year-old man, visited his local doctor in December 2015 with a chief complaint of abdominal distension and irregularities in bowel movements. The local doctor made a diagnosis of rectal cancer and referred him to our department. A lower gastrointestinal endoscopy detected a type 3 semi-circumferential lesion in the rectosigmoid colon and biopsy demonstrated a well-differentiated adenocarcinoma. An abdominal CT scan showed wall thickening and significant lymphadenopathy in the rectum. In addition, arteriovenous malformations(AVM) were identified in the pelvis. For the rectal cancer(cT3, cN1, cM0, cStage Ⅲa), a high anterior laparoscopic resection(D3 dissection) was successfully performed in January 2016. The reported incidence of AVMs in the pelvis is approximately 3%. Herein, we report our case of rectal cancer complicated by pelvic AVMs and present a review of the existing literature.


Copyright © 2017, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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