Asian journal of endoscopic surgery · 2025
Laparoscopic Sigmoidectomy in a Male Colon Cancer Patient With Pelvic Arteriovenous Malformation Using Preoperative Interventional Radiology: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Inaguma Gaku, Otsuka Koki, Masumori Koji, Hiro Junichiro, Kumamoto Tsutomu, Kamishima Megumu, Kobayashi Yosuke, Chong Yongchol, Omura Yusuke, Taniguchi Hiroko, Tsujimura Kazuki, Chikaishi Yuko, Tsurumachi Ayako, Akamatsu Hokuto, Uyama Ichiro, Suda Koichi
Аннотация
Pelvic arteriovenous malformation (AVM) is a rare vascular condition with diverse clinical manifestations. Treatment-related decision-making is difficult for concurrent AVMs and colon cancer. Interventional radiology is effective for colon cancer patients with pelvic AVM. Herein, a 77-year-old man presented with fatigue. Computed tomography revealed thickening of the sigmoid colon wall without lymph node swelling or distant metastasis, confirming irregularly dilated pelvic blood vessels. Preoperative transcatheter embolization of the AVM was initially performed. Then, laparoscopic sigmoidectomy was performed without complications following confirmation of AVM shrinkage via computed tomography. The patient was discharged without complications. Thus, preoperative pelvic AVM embolization in patients with sigmoid colon cancer may facilitate safe minimally invasive surgery.