A Solitary Cervical Cancer Metastatic Lesion in Rectosigmoid Colon Presenting with Acute Abdomen: A Rare Case Report
A Solitary Cervical Cancer Metastatic Lesion in Rectosigmoid Colon
Keywords:
intestinal obstruction, cervical cancer, metastasis, sigmoid colonAbstract
Cervical cancer can infiltrate locally and directly spread to adjacent organs. Cervical cancer metastasis to the intestine is a rare occurrence that is easily misdiagnosed as a bowel obstruction, perforation. This paper presents a report of Thai woman 74-year-old, post 20 years radiation treatment cervical cancer. Patient with metastases to rectosigmoid colon without primary cervical cancer recurrence who presented abdominal distention and had colicky pain due to left side colonic obstruction. The patient underwent exploratory laparotomy, anterior resection including the tumors were resected. The postoperative pathological diagnosis illustrated rectosigmoid colon metastatic adenocarcinoma. This case demonstrates that left sided colonic metastasis must be considered in the differential diagnosis of acute abdomen in patients with post- treatment cervical cancer.
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