A case of MCA arising from ICA: a case report

Background Complete mesocolic excision (CME) and central vascular detachment are very important procedures in surgery for colorectal cancer. Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surger...
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Autor*in:	Goyo, Kai [verfasserIn] Ishimaru, Kei [verfasserIn] Miyaji, Taichi [verfasserIn] Takamoto, Masumi [verfasserIn] Kashu, Noriaki [verfasserIn] Watanabe, Katsuya [verfasserIn] Takagi, Kenji [verfasserIn] Habu, Kyosuke [verfasserIn] Ogi, Yusuke [verfasserIn] Matsumoto, Hironori [verfasserIn] Kikuchi, Satoshi [verfasserIn] Sugishita, Hiroki [verfasserIn] Akita, Satoshi [verfasserIn] Yoshida, Motohira [verfasserIn] Koga, Shigehiro [verfasserIn] Oshikiri, Taro [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	ICA MCA ICG fluorescence imaging

Anmerkung:	© The Author(s) 2024

Übergeordnetes Werk:	Enthalten in: Surgical case reports - Springer Berlin Heidelberg, 2015, 10(2024), 1 vom: 15. Apr.
Übergeordnetes Werk:	volume:10 ; year:2024 ; number:1 ; day:15 ; month:04

Links:	Volltext

DOI / URN:	10.1186/s40792-024-01886-x

Katalog-ID:	SPR055533116

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520			\|a Background Complete mesocolic excision (CME) and central vascular detachment are very important procedures in surgery for colorectal cancer. Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surgery. A case with a rare anomaly in which the middle colic artery (MCA) and ileocolic artery (ICA) had a common trunk is reported. Case presentation The patient was a 73-year-old woman diagnosed with ascending colon cancer on colonoscopy. Preoperative abdominal contrast-enhanced computed tomography confirmed that the MCA and ICA had a common trunk. She underwent laparoscopic ileocecal resection for the ascending colon cancer with D3 lymph node dissection. Intraoperative indocyanine green fluorescence imaging was conducted. After confirming vessel bifurcation, the ICA was dissected at the distal end of the MCA bifurcation. The patient has been followed as an outpatient, with no signs of recurrence as of 2 years postoperatively. Conclusion A case of an ascending colon cancer with a unique vascular bifurcation pattern was presented. Preoperative and intraoperative evaluations of the major colorectal vessels are very important for preventing perioperative and postoperative complications.
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allfields	10.1186/s40792-024-01886-x doi (DE-627)SPR055533116 (SPR)s40792-024-01886-x-e DE-627 ger DE-627 rakwb eng 610 VZ Goyo, Kai verfasserin aut A case of MCA arising from ICA: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Complete mesocolic excision (CME) and central vascular detachment are very important procedures in surgery for colorectal cancer. Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surgery. A case with a rare anomaly in which the middle colic artery (MCA) and ileocolic artery (ICA) had a common trunk is reported. Case presentation The patient was a 73-year-old woman diagnosed with ascending colon cancer on colonoscopy. Preoperative abdominal contrast-enhanced computed tomography confirmed that the MCA and ICA had a common trunk. She underwent laparoscopic ileocecal resection for the ascending colon cancer with D3 lymph node dissection. Intraoperative indocyanine green fluorescence imaging was conducted. After confirming vessel bifurcation, the ICA was dissected at the distal end of the MCA bifurcation. The patient has been followed as an outpatient, with no signs of recurrence as of 2 years postoperatively. Conclusion A case of an ascending colon cancer with a unique vascular bifurcation pattern was presented. Preoperative and intraoperative evaluations of the major colorectal vessels are very important for preventing perioperative and postoperative complications. ICA (dpeaa)DE-He213 MCA (dpeaa)DE-He213 ICG fluorescence imaging (dpeaa)DE-He213 Ishimaru, Kei verfasserin aut Miyaji, Taichi verfasserin aut Takamoto, Masumi verfasserin aut Kashu, Noriaki verfasserin aut Watanabe, Katsuya verfasserin aut Takagi, Kenji verfasserin aut Habu, Kyosuke verfasserin aut Ogi, Yusuke verfasserin aut Matsumoto, Hironori verfasserin aut Kikuchi, Satoshi verfasserin aut Sugishita, Hiroki verfasserin aut Akita, Satoshi verfasserin aut Yoshida, Motohira verfasserin aut Koga, Shigehiro verfasserin aut Oshikiri, Taro verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 15. Apr. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:15 month:04 https://dx.doi.org/10.1186/s40792-024-01886-x X:VERLAG 0 kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 15 04
spelling	10.1186/s40792-024-01886-x doi (DE-627)SPR055533116 (SPR)s40792-024-01886-x-e DE-627 ger DE-627 rakwb eng 610 VZ Goyo, Kai verfasserin aut A case of MCA arising from ICA: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Complete mesocolic excision (CME) and central vascular detachment are very important procedures in surgery for colorectal cancer. Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surgery. A case with a rare anomaly in which the middle colic artery (MCA) and ileocolic artery (ICA) had a common trunk is reported. Case presentation The patient was a 73-year-old woman diagnosed with ascending colon cancer on colonoscopy. Preoperative abdominal contrast-enhanced computed tomography confirmed that the MCA and ICA had a common trunk. She underwent laparoscopic ileocecal resection for the ascending colon cancer with D3 lymph node dissection. Intraoperative indocyanine green fluorescence imaging was conducted. After confirming vessel bifurcation, the ICA was dissected at the distal end of the MCA bifurcation. The patient has been followed as an outpatient, with no signs of recurrence as of 2 years postoperatively. Conclusion A case of an ascending colon cancer with a unique vascular bifurcation pattern was presented. Preoperative and intraoperative evaluations of the major colorectal vessels are very important for preventing perioperative and postoperative complications. ICA (dpeaa)DE-He213 MCA (dpeaa)DE-He213 ICG fluorescence imaging (dpeaa)DE-He213 Ishimaru, Kei verfasserin aut Miyaji, Taichi verfasserin aut Takamoto, Masumi verfasserin aut Kashu, Noriaki verfasserin aut Watanabe, Katsuya verfasserin aut Takagi, Kenji verfasserin aut Habu, Kyosuke verfasserin aut Ogi, Yusuke verfasserin aut Matsumoto, Hironori verfasserin aut Kikuchi, Satoshi verfasserin aut Sugishita, Hiroki verfasserin aut Akita, Satoshi verfasserin aut Yoshida, Motohira verfasserin aut Koga, Shigehiro verfasserin aut Oshikiri, Taro verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 15. Apr. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:15 month:04 https://dx.doi.org/10.1186/s40792-024-01886-x X:VERLAG 0 kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 15 04
allfields_unstemmed	10.1186/s40792-024-01886-x doi (DE-627)SPR055533116 (SPR)s40792-024-01886-x-e DE-627 ger DE-627 rakwb eng 610 VZ Goyo, Kai verfasserin aut A case of MCA arising from ICA: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Complete mesocolic excision (CME) and central vascular detachment are very important procedures in surgery for colorectal cancer. Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surgery. A case with a rare anomaly in which the middle colic artery (MCA) and ileocolic artery (ICA) had a common trunk is reported. Case presentation The patient was a 73-year-old woman diagnosed with ascending colon cancer on colonoscopy. Preoperative abdominal contrast-enhanced computed tomography confirmed that the MCA and ICA had a common trunk. She underwent laparoscopic ileocecal resection for the ascending colon cancer with D3 lymph node dissection. Intraoperative indocyanine green fluorescence imaging was conducted. After confirming vessel bifurcation, the ICA was dissected at the distal end of the MCA bifurcation. The patient has been followed as an outpatient, with no signs of recurrence as of 2 years postoperatively. Conclusion A case of an ascending colon cancer with a unique vascular bifurcation pattern was presented. Preoperative and intraoperative evaluations of the major colorectal vessels are very important for preventing perioperative and postoperative complications. ICA (dpeaa)DE-He213 MCA (dpeaa)DE-He213 ICG fluorescence imaging (dpeaa)DE-He213 Ishimaru, Kei verfasserin aut Miyaji, Taichi verfasserin aut Takamoto, Masumi verfasserin aut Kashu, Noriaki verfasserin aut Watanabe, Katsuya verfasserin aut Takagi, Kenji verfasserin aut Habu, Kyosuke verfasserin aut Ogi, Yusuke verfasserin aut Matsumoto, Hironori verfasserin aut Kikuchi, Satoshi verfasserin aut Sugishita, Hiroki verfasserin aut Akita, Satoshi verfasserin aut Yoshida, Motohira verfasserin aut Koga, Shigehiro verfasserin aut Oshikiri, Taro verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 15. Apr. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:15 month:04 https://dx.doi.org/10.1186/s40792-024-01886-x X:VERLAG 0 kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 15 04
allfieldsGer	10.1186/s40792-024-01886-x doi (DE-627)SPR055533116 (SPR)s40792-024-01886-x-e DE-627 ger DE-627 rakwb eng 610 VZ Goyo, Kai verfasserin aut A case of MCA arising from ICA: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Complete mesocolic excision (CME) and central vascular detachment are very important procedures in surgery for colorectal cancer. Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surgery. A case with a rare anomaly in which the middle colic artery (MCA) and ileocolic artery (ICA) had a common trunk is reported. Case presentation The patient was a 73-year-old woman diagnosed with ascending colon cancer on colonoscopy. Preoperative abdominal contrast-enhanced computed tomography confirmed that the MCA and ICA had a common trunk. She underwent laparoscopic ileocecal resection for the ascending colon cancer with D3 lymph node dissection. Intraoperative indocyanine green fluorescence imaging was conducted. After confirming vessel bifurcation, the ICA was dissected at the distal end of the MCA bifurcation. The patient has been followed as an outpatient, with no signs of recurrence as of 2 years postoperatively. Conclusion A case of an ascending colon cancer with a unique vascular bifurcation pattern was presented. Preoperative and intraoperative evaluations of the major colorectal vessels are very important for preventing perioperative and postoperative complications. ICA (dpeaa)DE-He213 MCA (dpeaa)DE-He213 ICG fluorescence imaging (dpeaa)DE-He213 Ishimaru, Kei verfasserin aut Miyaji, Taichi verfasserin aut Takamoto, Masumi verfasserin aut Kashu, Noriaki verfasserin aut Watanabe, Katsuya verfasserin aut Takagi, Kenji verfasserin aut Habu, Kyosuke verfasserin aut Ogi, Yusuke verfasserin aut Matsumoto, Hironori verfasserin aut Kikuchi, Satoshi verfasserin aut Sugishita, Hiroki verfasserin aut Akita, Satoshi verfasserin aut Yoshida, Motohira verfasserin aut Koga, Shigehiro verfasserin aut Oshikiri, Taro verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 15. Apr. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:15 month:04 https://dx.doi.org/10.1186/s40792-024-01886-x X:VERLAG 0 kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 15 04
allfieldsSound	10.1186/s40792-024-01886-x doi (DE-627)SPR055533116 (SPR)s40792-024-01886-x-e DE-627 ger DE-627 rakwb eng 610 VZ Goyo, Kai verfasserin aut A case of MCA arising from ICA: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Complete mesocolic excision (CME) and central vascular detachment are very important procedures in surgery for colorectal cancer. Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surgery. A case with a rare anomaly in which the middle colic artery (MCA) and ileocolic artery (ICA) had a common trunk is reported. Case presentation The patient was a 73-year-old woman diagnosed with ascending colon cancer on colonoscopy. Preoperative abdominal contrast-enhanced computed tomography confirmed that the MCA and ICA had a common trunk. She underwent laparoscopic ileocecal resection for the ascending colon cancer with D3 lymph node dissection. Intraoperative indocyanine green fluorescence imaging was conducted. After confirming vessel bifurcation, the ICA was dissected at the distal end of the MCA bifurcation. The patient has been followed as an outpatient, with no signs of recurrence as of 2 years postoperatively. Conclusion A case of an ascending colon cancer with a unique vascular bifurcation pattern was presented. Preoperative and intraoperative evaluations of the major colorectal vessels are very important for preventing perioperative and postoperative complications. ICA (dpeaa)DE-He213 MCA (dpeaa)DE-He213 ICG fluorescence imaging (dpeaa)DE-He213 Ishimaru, Kei verfasserin aut Miyaji, Taichi verfasserin aut Takamoto, Masumi verfasserin aut Kashu, Noriaki verfasserin aut Watanabe, Katsuya verfasserin aut Takagi, Kenji verfasserin aut Habu, Kyosuke verfasserin aut Ogi, Yusuke verfasserin aut Matsumoto, Hironori verfasserin aut Kikuchi, Satoshi verfasserin aut Sugishita, Hiroki verfasserin aut Akita, Satoshi verfasserin aut Yoshida, Motohira verfasserin aut Koga, Shigehiro verfasserin aut Oshikiri, Taro verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 15. Apr. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:15 month:04 https://dx.doi.org/10.1186/s40792-024-01886-x X:VERLAG 0 kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 15 04
language	English
source	Enthalten in Surgical case reports 10(2024), 1 vom: 15. Apr. volume:10 year:2024 number:1 day:15 month:04
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Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surgery. A case with a rare anomaly in which the middle colic artery (MCA) and ileocolic artery (ICA) had a common trunk is reported. Case presentation The patient was a 73-year-old woman diagnosed with ascending colon cancer on colonoscopy. Preoperative abdominal contrast-enhanced computed tomography confirmed that the MCA and ICA had a common trunk. She underwent laparoscopic ileocecal resection for the ascending colon cancer with D3 lymph node dissection. Intraoperative indocyanine green fluorescence imaging was conducted. After confirming vessel bifurcation, the ICA was dissected at the distal end of the MCA bifurcation. The patient has been followed as an outpatient, with no signs of recurrence as of 2 years postoperatively. Conclusion A case of an ascending colon cancer with a unique vascular bifurcation pattern was presented. 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author	Goyo, Kai
spellingShingle	Goyo, Kai ddc 610 misc ICA misc MCA misc ICG fluorescence imaging A case of MCA arising from ICA: a case report
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topic_title	610 VZ A case of MCA arising from ICA: a case report ICA (dpeaa)DE-He213 MCA (dpeaa)DE-He213 ICG fluorescence imaging (dpeaa)DE-He213
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title	A case of MCA arising from ICA: a case report
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title_full	A case of MCA arising from ICA: a case report
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author_browse	Goyo, Kai Ishimaru, Kei Miyaji, Taichi Takamoto, Masumi Kashu, Noriaki Watanabe, Katsuya Takagi, Kenji Habu, Kyosuke Ogi, Yusuke Matsumoto, Hironori Kikuchi, Satoshi Sugishita, Hiroki Akita, Satoshi Yoshida, Motohira Koga, Shigehiro Oshikiri, Taro
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title_sort	a case of mca arising from ica: a case report
title_auth	A case of MCA arising from ICA: a case report
abstract	Background Complete mesocolic excision (CME) and central vascular detachment are very important procedures in surgery for colorectal cancer. Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surgery. A case with a rare anomaly in which the middle colic artery (MCA) and ileocolic artery (ICA) had a common trunk is reported. Case presentation The patient was a 73-year-old woman diagnosed with ascending colon cancer on colonoscopy. Preoperative abdominal contrast-enhanced computed tomography confirmed that the MCA and ICA had a common trunk. She underwent laparoscopic ileocecal resection for the ascending colon cancer with D3 lymph node dissection. Intraoperative indocyanine green fluorescence imaging was conducted. After confirming vessel bifurcation, the ICA was dissected at the distal end of the MCA bifurcation. The patient has been followed as an outpatient, with no signs of recurrence as of 2 years postoperatively. Conclusion A case of an ascending colon cancer with a unique vascular bifurcation pattern was presented. Preoperative and intraoperative evaluations of the major colorectal vessels are very important for preventing perioperative and postoperative complications. © The Author(s) 2024
abstractGer	Background Complete mesocolic excision (CME) and central vascular detachment are very important procedures in surgery for colorectal cancer. Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surgery. A case with a rare anomaly in which the middle colic artery (MCA) and ileocolic artery (ICA) had a common trunk is reported. Case presentation The patient was a 73-year-old woman diagnosed with ascending colon cancer on colonoscopy. Preoperative abdominal contrast-enhanced computed tomography confirmed that the MCA and ICA had a common trunk. She underwent laparoscopic ileocecal resection for the ascending colon cancer with D3 lymph node dissection. Intraoperative indocyanine green fluorescence imaging was conducted. After confirming vessel bifurcation, the ICA was dissected at the distal end of the MCA bifurcation. The patient has been followed as an outpatient, with no signs of recurrence as of 2 years postoperatively. Conclusion A case of an ascending colon cancer with a unique vascular bifurcation pattern was presented. Preoperative and intraoperative evaluations of the major colorectal vessels are very important for preventing perioperative and postoperative complications. © The Author(s) 2024
abstract_unstemmed	Background Complete mesocolic excision (CME) and central vascular detachment are very important procedures in surgery for colorectal cancer. Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surgery. A case with a rare anomaly in which the middle colic artery (MCA) and ileocolic artery (ICA) had a common trunk is reported. Case presentation The patient was a 73-year-old woman diagnosed with ascending colon cancer on colonoscopy. Preoperative abdominal contrast-enhanced computed tomography confirmed that the MCA and ICA had a common trunk. She underwent laparoscopic ileocecal resection for the ascending colon cancer with D3 lymph node dissection. Intraoperative indocyanine green fluorescence imaging was conducted. After confirming vessel bifurcation, the ICA was dissected at the distal end of the MCA bifurcation. The patient has been followed as an outpatient, with no signs of recurrence as of 2 years postoperatively. Conclusion A case of an ascending colon cancer with a unique vascular bifurcation pattern was presented. Preoperative and intraoperative evaluations of the major colorectal vessels are very important for preventing perioperative and postoperative complications. © The Author(s) 2024
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title_short	A case of MCA arising from ICA: a case report
url	https://dx.doi.org/10.1186/s40792-024-01886-x
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author2	Ishimaru, Kei Miyaji, Taichi Takamoto, Masumi Kashu, Noriaki Watanabe, Katsuya Takagi, Kenji Habu, Kyosuke Ogi, Yusuke Matsumoto, Hironori Kikuchi, Satoshi Sugishita, Hiroki Akita, Satoshi Yoshida, Motohira Koga, Shigehiro Oshikiri, Taro
author2Str	Ishimaru, Kei Miyaji, Taichi Takamoto, Masumi Kashu, Noriaki Watanabe, Katsuya Takagi, Kenji Habu, Kyosuke Ogi, Yusuke Matsumoto, Hironori Kikuchi, Satoshi Sugishita, Hiroki Akita, Satoshi Yoshida, Motohira Koga, Shigehiro Oshikiri, Taro
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up_date	2024-07-03T16:16:51.502Z
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Preoperative and intraoperative assessments of the anatomy of major colorectal vessels are necessary to avoid massive bleeding, especially in endoscopic surgery. A case with a rare anomaly in which the middle colic artery (MCA) and ileocolic artery (ICA) had a common trunk is reported. Case presentation The patient was a 73-year-old woman diagnosed with ascending colon cancer on colonoscopy. Preoperative abdominal contrast-enhanced computed tomography confirmed that the MCA and ICA had a common trunk. She underwent laparoscopic ileocecal resection for the ascending colon cancer with D3 lymph node dissection. Intraoperative indocyanine green fluorescence imaging was conducted. After confirming vessel bifurcation, the ICA was dissected at the distal end of the MCA bifurcation. The patient has been followed as an outpatient, with no signs of recurrence as of 2 years postoperatively. Conclusion A case of an ascending colon cancer with a unique vascular bifurcation pattern was presented. 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A case of MCA arising from ICA: a case report

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