A Case of Constrictive Ischemic Inflammation of the Small Intestine after One Stage Resection of Thoracic Esophageal Cancer and Colon Cancer with Liver Metastasis

Nobuhisa Matsuhashi, Narutoshi Nagao, Chihiro Tanaka, Yasuyuki Sugiyama and Shigetoyo Saji

Department of Tumor and General Surgery, Gifu University, School of Medicine

A 62-year-old man underwent thoraco-abdominal esophagectomy for esophageal cancer, and sigmoidectomy and lateral segmentectomy of the liver for sigmoid colon cancer. In spite of a good postoperative course for the first 28 days postoperation, he complained of abdominal pain due to an intestinal obstruction. However, as conservative therapy showed no remission, a reoperation was performed 37 days after the first operation. About one meter of the ileum was resected including four narrow segments of the ischemic intestine. Histopathological finding showed a constrictive ischemic inflammation of the small intestine. Even in the state of anticoagulant therapy for esophagectomized patients, constrictive ischemic inflammation of the small intestine is observed rarely, so early diagnosis and surgery may be necessary for such patients with severe surgical stress

Key words
Thoracic Esophageal Cancer, Constrictive Ischemic Inflammation of the Small Intestine, Colon Cancer

Reprint requests
Nobuhisa Matsuhashi Department of Tumor and General Surgery, Gifu University, School of Medicine
40 Tsukasamachi, Gifu, 500-8705 JAPAN

Accepted
July 23, 2003

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