A Case of Metastatic Tumor of Small Intestine after 9 years of Operation for Uterine Cervical Cancer

Junji Okayama, Naoyuki Nakatsuji, Masato Horikawa, Mitsutoshi Tatsumi, Tomoyoshi Takayama, Shinji Nakamura, Daisuke Hokuto, Hiroshi Maruyama* and Seiichi Sugihara

Department of Surgery and Department of Pathology*, Hoshigaoka Koseinenkin Hospital

We present a case of ileus considered due to small intestinal metastasis from uterine cervical cancer. A 56-year-old woman admitted for abdominal pain and vomiting was found in abdominal x-ray to have a fluid accumulation. Based on a diagnosis of ileus, we conducted intestinal drainage, but to no avail. Laparotomy showed stenosis of the small intestine 30 cm from the terminal ileum. We partially resected the ileum, including the tumor. Pathological findings indicated uterine cervical cancer metastasis. The postoperative course was uneventful and she is being followed up as an outpatient. Metastasis from primary uterine cervical cancer to the small intestine is very rare and, to our knowledge, ours is only the second case reported in Japan.

Key words
uterine cervical cancer, metastatic tumor, small intestine

Reprint requests
Junji Okayama Department of Surgery, Hoshigaoka Koseinenkin Hospital
4-8-1 Hoshigaoka, Hirakata, 573-8511 JAPAN

Accepted
February 22, 2006

To read the PDF file you will need Abobe Reader installed on your computer.