A Difficult Case of Invagination of the Protruding Colon Cancer
Yoshioka, S.; Oka, Y.; Okada, K.; Ueshima, S.; Higaki, N.; Hayashida, H.; Nezu, R.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 44(12): 1423-1424
2017
ISSN/ISBN: 0385-0684 PMID: 29394655 Document Number: 694320
A 88-year-old female suffered of ileus due to advanced transverse colon cancer. Pneumonia was observed and nutrient condition was bad. Operation was found to be difficult because of the bad condition with complication on this present time. Self-expandable metallic stent(SEMS)was inserted to extend obstruction. But SEMS dropped out next day and SEMS, thicker than previous one, was reinserted. Main tumor was huge protruding tumor and the reason of ileus was invagination of the cancer. The fixation of SEMS was not so good, but the generalcondition was improved while a week after reinsertion of SEMS. Laparoscopic colon partial resection was performed safely. Bridge to surgery with SEMS for the case of invagination of protruding colon cancer was thought to be useful.