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  • Metastatized Colonic Cancer

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    drhiwaomer
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    The 70-year-old female patient presented with a 1-month history of left lower abdominal pain, anorexia, weight loss of 10kg in 3 months, and vomiting 1-2 times per day. Examination revealed colicky abdominal pain localized to the left lower abdomen, aggravated by meals. Her medical history included a hemorrhoidectomy one year prior. During surgery, a solid mass was found in the lower sigmoid colon and excised with an end-to-end anastomosis. She received chemotherapy post-operatively, and the liver secondaries disappeared after four months. However, she later presented with constipation and was found to have a proximal recurrence, for which an omental mass attached to the c

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    case presentation

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    Metastatized colonic cancer

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    The 70-year-old female patient presented with a 1-month history of left lower abdominal pain, anorexia, weight loss of 10kg in 3 months, and vomiting 1-2 times per day. Examination revealed colicky abdominal pain localized to the left lower abdomen, aggravated by meals. Her medical history included a hemorrhoidectomy one year prior. During surgery, a solid mass was found in the lower sigmoid colon and excised with an end-to-end anastomosis. She received chemotherapy post-operatively, and the liver secondaries disappeared after four months. However, she later presented with constipation and was found to have a proximal recurrence, for which an omental mass attached to the c

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT or read online from Scribd
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    161 views17 pages

    Metastatized Colonic Cancer

    Uploaded by

    drhiwaomer
    The 70-year-old female patient presented with a 1-month history of left lower abdominal pain, anorexia, weight loss of 10kg in 3 months, and vomiting 1-2 times per day. Examination revealed colicky abdominal pain localized to the left lower abdomen, aggravated by meals. Her medical history included a hemorrhoidectomy one year prior. During surgery, a solid mass was found in the lower sigmoid colon and excised with an end-to-end anastomosis. She received chemotherapy post-operatively, and the liver secondaries disappeared after four months. However, she later presented with constipation and was found to have a proximal recurrence, for which an omental mass attached to the c

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT or read online from Scribd
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    of 17

    Mrs.

    HABEBA QADIR MARIF


    70yr. Old, housewife, from
    Ibraheem pasha.
    , examined on 29th /Sep. /2006, was
    complaining of the left lower
    abdominal pain of one month
    duration.
    The pain located in the left
    lower abdomen, of one month
    duration, moderate in severity,
    colicky in nature, acute in
    onset, not related to eating or
    defecation, more at night.
    Relieved by nothing and
    aggravated by meals . Not
    referred or radiate any where,
    neither propagated nor
    migrated. The patient thought
     Associated with anorexia, lose of
    weight about 10kg in 3 months,
     vomiting (1-2times per a day,
    propulsive , few hours after the
    meal).
     the vomitus was large involume,
    yellowish in color, bitter in taste ,
    niether contain blood nor food from
    previous day). She was passing
    black stool.
    Family & social history:
    married, moderate
    economic status, not
    smoker.
    Gynecological history:
    G11 P6 A3 D2.
    Past medical history:
    Vaccination; un known.
    Allergy; un known.
    History of chronic disease;
    same complain for one month.
    History of chronic drug intake;
    no.
    Hospitalization;Haemorrhoidecto
    my, one year ago.
    Vital sign:
    PR 74b/min
    BP 150/80mmHg
    RR 20cycles/min
    Temp.37.6
    Pre operative preparation
    Liquid meal intake,
    Enema on afternoon before
    operation.
    Operation
    Perioperative Claforan vial 1g
    & Flagyl bottle 500mg iv
    infusion after induction of GA
    Mid line incision, a solid mass
    located in the lower part of
    sigmoid colon . With wide
    range of normal colon excised
    with end to end anastomosis.
    Post operative
    she was received chemotherapy
    and after four month's all
    secondaries in the liver
    disappeared.
    Recurrence
     On 18th August 2007
     She reported to have constipation,
     Investigated revealed Recurrence
    proximally
    Intraoperatively
     There was a mass of omentum
    attached to the caecum, which
    excised
     With eventfull postoperative period

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