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Year : 2019  |  Volume : 8  |  Issue : 1  |  Page : 30-33

Right hemicolectomy in a patient with heterotaxy syndrome

1 Department of General Surgery, AZ Maria Middelares, Gent, Belgium
2 Department of Radiology, AZ Maria Middelares, Gent, Belgium

Correspondence Address:
Dr. Maxime Dewulf
Buitenring Sint.Denijs 30, 9000 Gent
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/WJCS.WJCS_11_18

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In this communication, we present a first description of right hemicolectomy in a patient with heterotaxy syndrome (HS). A 78-year-old male was admitted to the outpatient clinic with complaints of dysphagia. Diagnostic workup revealed the presence of an esophageal web. On subsequent colonoscopy, a tumoral lesion was found in the ascending colon. Computed tomography scan illustrated abdominal situs ambiguous with right-sided polysplenia, right-sided stomach, and intestinal nonrotation. Furthermore, a preduodenal portal vein, azygos continuation of the inferior vena cava, and hemiazygos continuation of the left renal vein were observed. After careful assessment of the anatomy, a right hemicolectomy with radical lymphadenectomy was performed. HS consists of a rare and complex situs anomaly, with an abnormal arrangement of the thoracic and/or abdominal organs along the left–right axis. To our knowledge, right hemicolectomy has not been described in patients with HS.

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