文章基本信息

标题：Sigmoid colon cancer with an incidental diagnosis of Leriche syndrome successfully treated without inferior epigastric artery injury
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作者：Naoto Mizumura ; Masayasu Kawasaki ; Satoshi Okumura 等
期刊名称：General Internal Medicine and Clinical Innovations
电子版ISSN：2397-5237
出版年度：2016
卷号：1
期号：1
页码：9-11
DOI：10.15761-GIMCI.1000103
语种：English
出版社：Open Access Text
摘要：Leriche syndrome involves atherosclerotic occlusion of the infrarenal aorta and bilateral common iliac arteries, and the inferior epigastric artery is an important route for lower-extremity perfusion. A 65-year-old Japanese man with sigmoid colon cancer was scheduled to undergo laparoscopic colectomy, and three-dimensional computed tomography angiography was performed to detect the feeding artery of the tumor. The angiography incidentally showed occlusion of the infrarenal aorta and common iliac arteries with the following collateral pathways: the internal thoracic artery supplied the external iliac artery via the inferior epigastric artery and the intercostal arteries supplied the external iliac artery via the superficial circumflex iliac artery. Therefore, he was diagnosed with Leriche syndrome. We performed open colectomy with midline incision and colostomy at the midline, without drain placement to prevent inferior epigastric artery injury. In patients with Leriche syndrome, this approach might be a safe option to avoid lower extremity ischemia.
关键词：colon cancer; inferior epigastric artery; Leriche syndrome; lower extremity ischemia