Novel application of Roux-en-Y for diversion of a cutaneous fistula from an irresectable mesenteric root mature teratoma: a case report.
- Resource Type
- Case Study
- Authors
- Field, Xavier; Welsh, Fraser
- Source
- Journal of Surgical Case Reports. Nov2023, Vol. 2023 Issue 11, p1-3. 3p.
- Subject
- *TERATOMA
*ALIMENTARY canal
*FISTULA
*RETROPERITONEUM
*MESENTERY
*DESMOID tumors
TUMOR surgery
- Language
- ISSN
- 2042-8812
Reconfiguration of the alimentary tract with the Roux-en-Y has been utilized in a wide variety of contexts since its first description by Swiss physician César Roux. We present a novel and unique application of the Roux-en-Y whereby a chronically discharging cutaneous fistula originating at a retroperitoneal mature teratoma within the root of the mesentery was diverted enterically via a cystojejunostomy and the fistula tract excised, providing a resolution of symptoms. The location of the tumour in the root of the mesentery and the involvement of major mesenteric vessels made a radical resection of the tumour technically impossible but due to the distressing symptoms caused by the fistula made diversion of the fistula an excellent treatment option. [ABSTRACT FROM AUTHOR]