A CASE OF SIGMOID COLON CANCER WITH GIANT CYSTIC LOCAL RECURRENCE COMPLICATED BY PULMONARY INFARCTION

• Published in: Japanese Journal of National Medical Services Vol. 48; no. 6; pp. 443 - 446
• Main Authors: OISHI, Toshiaki, TANAKA, Yuji, HASEGAWA, Shinichi, TAKAHASHI, Motoichiro, NAKAMURA, Masaki, MURAKAMI, Masaru
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of National Medical Services 1994; 一般社団法人 国立医療学会
• Subjects: cystic local recurrence of the sigmoid colon cancer; Greenfield inferior vena caval filter; Greenfield下大静脈フィルター; pulmonary infarction; S状結腸癌の嚢胞状再発; 肺梗塞
• ISSN: 0021-1699; 1884-8729
• DOI: 10.11261/iryo1946.48.443

This report deals with a case of sigmoid colon cancer which recurred locally as a cyst 1 year after surgery together with pulmonary infarction. The cyst was resected after a filter was placed in the inferior vena cava to prevent further pulmonary infarction. The patient, a 63-year-old woman, underwent sigmoid colon resection for the sigmoid colon cancer in December 1989. In December 1990, an elastic tumor with a size of an infant's head was found in the lower right abdomen and she was admitted to our hospital. Pulmonary infarction occurred the morning after abdominal angiography was performed. Pulmonary perfusion scintigraphy showed infarction in the right middle lobe, and venography revealed thrombi in the right external iliac vein compressed by a mass. The intrapelvic tumor was removed after a Greenfield inferior vena caval filter was placed immediately below the renal veins to prevent possible embolism in association with surgery. At laparotomy, a cystic tumor was resected. This was a moderately differentiated adenocarcinoma, which was histologically diagnosed as a local recurrence of the sigmoid colon cancer. She died with distant metastasis in the liver after 22 months, but without recurrence of pulmonary infarction.