Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Sep 16, 2020; 12(9): 310-316
Published online Sep 16, 2020. doi: 10.4253/wjge.v12.i9.310
Laparoscopy-assisted resection of colorectal cancer with situs inversus totalis: A case report and literature review
Wei Chen, Jing-Lin Liang, Jun-Wen Ye, Yan-Xin Luo, Mei-Jin Huang
Wei Chen, Jing-Lin Liang, Jun-Wen Ye, Yan-Xin Luo, Mei-Jin Huang, Department of Colorectal Surgery, The Six Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China
Author contributions: Chen W, Liang JL, Ye JW, Luo YX, and Huang MJ contributed to the study design, data collection, analysis, and interpretation, drafting of the final manuscript, and supervision; all authors approved the final version of the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Mei-Jin Huang, PhD, Academic Fellow, Doctor, Department of Colorectal Surgery, The Six Affiliated Hospital, Sun Yat-sen University, No. 26 Yuancun Erheng Road, Tianhe District, Guangzhou 510655, Guangdong Province, China. 13924073322@139.com
Received: April 9, 2020
Peer-review started: April 9, 2020
First decision: June 8, 2020
Revised: July 9, 2020
Accepted: August 4, 2020
Article in press: August 4, 2020
Published online: September 16, 2020
Abstract
BACKGROUND

Situs inversus totalis (SIT) is a rare anomaly in which structures are located opposite to their usual positions. It is not a premalignant condition and the association with colorectal cancer (CRC) is rare. We here report a patient with SIT who underwent laparoscopic radical resection of sigmoid colon cancer, and review the pertinent literature.

CASE SUMMARY

A 53-year-old woman presented with CRC and SIT and underwent a complete examination after admission. The patient then underwent laparoscopic radical resection of sigmoid colon cancer and hyperthermic intraperitoneal chemotherapy. The operation duration was 120 min, and no intraoperative complications occurred. The final pathological report showed stage T4aN0M0. Postoperative chemotherapy was administered and no evidence of recurrence was observed during 18 mo of follow-up.

CONCLUSION

Surgery in a patient with CRC and SIT can be safely performed on the basis of routine preoperative clinical examination.

Keywords: Colorectal cancer, Situs inversus totalis, Hyperthermic intraperitoneal chemotherapy, Case report

Core Tip: Situs inversus totalis is a rare anomaly in which structures are located opposite to their usual positions. It is not a premalignant condition and the association with colorectal cancer is rare. We here report a case and review the literature. In sum, a 53-year-old woman presented with colorectal cancer and situs inversus totalis and underwent a complete examination after admission. The patient then underwent laparoscopic radical resection of sigmoid colon cancer and hyperthermic intraperitoneal chemotherapy. The final pathological report showed stage T4aN0M0. Postoperative chemotherapy was administered and no evidence of recurrence was observed during 18 mo of follow-up.