Totally Laparoscopic Management with Natural Orifice Specimen Retrieval of a Rare Incidental Synchronous Colonic and Endometrial Cancer
Published: 2023-12-11
Page: 625-630
Issue: 2023 - Volume 6 [Issue 2]
Ganesh Shenoy *
Department of Minimal Access, GI and Bariatric Surgery, Fortis Hospital, No 14, Cunningham Road, Vasanthnagar, Bangalore, Karnataka, 560062, India.
Amol S. Jeur
Department of Minimal Access, GI and Bariatric Surgery, Fortis Hospital, No 14, Cunningham Road, Vasanthnagar, Bangalore, Karnataka, 560062, India.
Marina Thomas
Department of Minimal Access, GI and Bariatric Surgery, Fortis Hospital, No 14, Cunningham Road, Vasanthnagar, Bangalore, Karnataka, 560062, India.
Rubina Shanawaz
Department of Minimal Access Gynecology, Fortis Hospital, No 14, Cunningham Road, Vasanthnagar, Bangalore, Karnataka, 560062, India.
Ramesh B. S.
Department of Minimal Access, GI and Bariatric Surgery, Fortis Hospital, No 14, Cunningham Road, Vasanthnagar, Bangalore, Karnataka, 560062, India.
Nawab Jan
Department of Minimal Access, GI and Bariatric Surgery, Fortis Hospital, No 14, Cunningham Road, Vasanthnagar, Bangalore, Karnataka, 560062, India.
*Author to whom correspondence should be addressed.
Abstract
Aim: To present a rare case report of non-familial incidentally detected synchronous cancer involving splenic flexure of colon and endometrium managed by totally laparoscopic approach with both the specimens retrieved through vagina.
Presentation of Case: A 56-year-old lady presented with pain abdomen and on evaluation diagnosed to have carcinoma of splenic flexure colon and endometrial cancer.
Discussion: Synchronous transverse colon /splenic flexure and endometrial cancer is a very rare entity. In our case CECT played a vital role in early detection of asymptomatic colonic malignancy. Traditionally, the surgery for simultaneous double cancer of the colon and uterus required a large laparotomy incision to the upper and lower abdomen. After extensive literature search, we believe this is the first reported case of non-familial synchronous malignancy of splenic flexure of colon and endometrium which was managed by totally laparoscopic approach and specimen retrieved through natural orifice.
Conclusion: Totally laparoscopic approach with natural orifice retrieval of specimens for synchronous gastrointestinal and endometrial malignancy is safe and feasible in experienced hands.
Keywords: Synchronous cancer, endometrial cancer, colonic cancer, lynch syndrome, laparoscopic extended left hemicolectomy