A Case of Multiple Colon Cancer Presented With Ileac Symptoms After Having Prepared Colostomy

Abstract

A 72-year-old woman was carried in our hospital with the chief complaints of abdominal distention and vomiting. The patient was diagnosed as occlusive ileus due to a rectal cancer and temporally double barrelled colostomy with sigmoid colon was performed. After that, although the patient had sufficient evacuation, a progressing abdominal distention was found. Abdominal CT revealed a locally enlarged digestive tract at a location where the lower abdominal distention was seen. The patient was diagnosed as having localized ileus developed anal-side from the preternatural anus, and radical operation was performed. These ileus episodes were clarified to be caused by advanced cancers existing at the sigmoid colon and upper rectum (synchronous multiple cancer). Preoperative examination often fails to offer full informations about multiple cancer, especially for patients undergone emergency operation due to colon cancer-caused ileus or perforation or those presented with severe occlusion due to anal-side colon cancer. We should remember a possible existence of multiple cancer in the treatment of colon cancer in all cases.