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A 74-year-old male patient underwent laparoscopic left nephroureteral surgery for suspected left ureteral carcinoma on follow-up CT after sigmoid colon cancer surgery and lymph node recurrence surgery. Although primary ureteral adenocarcinoma or metastatic ureteral carcinoma was suspected, postoperative histopathological examination and clinical course led to the diagnosis of intraluminal ureteral dissemination of sigmoid colon cancer. Postoperative intraluminal ureteral recurrence of colorectal cancer is extremely rare. This symptom should be ruled out after sigmoid colon cancer surgery.
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Ann Gastroenterol Surg
September 2025
Division of Gastroenterology, Department of Gastroenterology and Hepatology Kawasaki Medical School Hospital Kurashiki Japan.
Aim: The clinical characteristics of colonic diverticular perforation are poorly understood. We aimed to clarify the clinical characteristics of colonic diverticular perforation.
Methods: Patients who underwent surgery for colonic diverticular perforation from 2011 to 2021 were retrospectively evaluated.
Ann Gastroenterol Surg
September 2025
Division of Molecular and Diagnostic Pathology, Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.
Aims: To determine the optimal extent of lymph node dissection for non-metastatic colon cancer by tumor location based on the therapeutic value index (TVI) for each lymph node station.
Methods: Consecutive patients with surgical stage I-III colon or rectosigmoid cancer in the Japanese Society for Cancer of the Colon and Rectum database who underwent curative resection between January 2003 and December 2014 were analyzed. The TVI was defined as the incidence of lymph node metastasis multiplied by 5-year overall survival and calculated for each nodal station stratified by tumor location.
Clin Case Rep
September 2025
Department of Obstetrics & Gynecology Motazedi Hospital, Kermanshah University of Medical Sciences Kermanshah Iran.
Sigmoid volvulus and uterine torsion are both rare and challenging conditions in pregnancy, and the coexistence of these conditions is particularly difficult to diagnose. Herein, we report a case of a 38-year-old pregnant woman at 30 weeks of gestation, with a history of two prior cesarean sections, who presented with severe abdominal pain, vomiting, and constipation, and was eventually diagnosed with both sigmoid volvulus and uterine torsion during surgery. Clinicians should consider the possibility of bowel obstruction when a pregnant woman presents with severe abdominal pain, vomiting, and constipation, as early diagnosis is crucial.
View Article and Find Full Text PDFCRSLS
September 2025
Faculty of Medicine, Department of Internal Medicine, Division of Intensive Care Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye. (Dr. Demirer Aydemir).
We present a rare morphological variant of a colonic polyp observed during a routine screening colonoscopy. A 62-year-old male with known chronic obstructive pulmonary disease (COPD) and benign prostatic hyperplasia (BPH) was found to have a bridge-shaped polyp in the sigmoid colon. The polyp was successfully resected via snare polypectomy following submucosal adrenaline injection.
View Article and Find Full Text PDFCase Rep Med
August 2025
Department of Gynecologic Oncology, First Affiliated Hospital, Bengbu Medical University, Bengbu 233004, Anhui, China.
Ectopic spleen (ES) is a rare complication of autologous transplant following spleen injury. Autopsy studies suggest that the true incidence rate could be as high as 67%, though only 5%-10% of patients require clinical intervention. This case report describes a highly cautionary case of ES, with an extremely long latent period.
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