A Case of Curative Resection of Recurrent Tumor in Rectovesical Pouch from Sigmoid Colon Cancer

Takekazu Iuchi, Takashi Hirai, Yukihide Kanemitsu, Tomoyuki Kato, Yoshinari Mochizuki, Seiji Ito, Yasuhiro Shimizu, Kenzo Yasui and Yoshitaka Yamamura

Department of Gastroenterological Surgery, Aichi Cancer Center Hospital

A 55-year-old man underwent sigmoidectomy and D₃ lymph node dissection for sigmoid colon cancer in 1995. Histological diagnosis was moderately differentiated adenocarcinoma, ss, n₀, ly₁ and v₁. Elevation of the serum CEA level was noticed in April 1996. In December 1996, a hard mass was detected by palpation of the anterior wall of the rectum. Pelvic CT revealed a small mass behind the seminal vesicle and we diagnosed this as recurrence of the sigmoid colon cancer. We performed a low anterior resection combined with seminal vesicle resection in March 1997. The tumor was 3 cm large and existed under the peritoneum between the rectum and the seminal vesicle with wrinkle at peritoneal reflection. Histological diagnosis was moderately differentiated adenocarcinoma. The patient remains alive at the time of writing without any sign of recurrence in a 5-year follow-up.

Key words
colon cancer, isolated peritoneal metastasis, rectovesical puch recurrence

Reprint requests
Iuchi Takekazu Deparment of Surgery, Shiga University of Medical Science Setatsukinowa-cho, Otsu, 5202192 JAPAN

Accepted
June 25, 2003

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