A Case of Severe Obstructive Colitis Associated with Sigmoid Colon Cancer

Rika Ishibashi, Masahiro Kamati, Toshihiko Kurohiji, Keita Kobayashi, Yuichi Yamashita^* and Takayuki Shirakusa^*

Department of Surgery, Shin Koga Hospital
^*2nd Department of Surgery, Fukuoka University

A-60-year old female visited our hospital because of abdominal pain. Her abdomen was distended without muscular defense. A abdominal X-ray and CT showed marked distention in the colon. An emergency laparotomy was performed due to septic shock. Obstructive colitis associated with sigmoid colon cancer was intraoperatively diagnosed and left hemicolectomy was performed. After the operation, PMX and CHDF were immediately started for endotoxicemia and acute renal failure. She recovered gradually from septic shock after 2 sessions of PMX, and drank clear water perorally for 2 weeks after the operation. HDF support for acute renal failure was stopped on the 38th postoperative day, and she was discharged on the 76th postoperative day.

Key words
obstructive colitis associated with colon cancer, septic shock, endotoxin adsorption

Reprint requests
Rika Ishibashi 2nd Department of Surgery, Fukuoka University School of Medicine 7-45-1 Nanakuma, Jonan-ku, Fukuoka-city, 814-0180 JAPAN

Accepted
March 31, 1999

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