Isolated Metastasis to Small Bowel from Sigmoid Colon Cancer: Report of a Case

Toshiaki Tsujimura, Akihiro Toyokawa, Tomoyuki Wakahara, Hideyo Mukubou and Yutaka Hamabe

Department of Surgery, Yodogawa Christian Hospital

Isolated small bowel metastasis from colon cancer is uncommon and the prognosis is poor. We present a case of curative resection for isolated small bowel metastasis from sigmoid colon cancer, which was found at the time of surgery for a second anastomotic recurrence. An asymptomatic 68-year-old man was found to have a second anastomotic recurrence in examinations after 2 operations for sigmoid colon cancer and the first anastomotic recurrence. Under laparotomy, palpation of the small bowel showed a small hard mass like a submucosal tumor at the ileum. We performed low anterior resection and partial resection of the ileum. Pathological examination confirmed isolated small bowel metastasis which was identical to the primary sigmoid colon cancer and the second anastomotic recurrence. The patient is well with no sign of recurrence 1 year and 6 months after the last resection. The surgical resection will bring good prognosis to the patient with isolated small bowel metastasis from colon cancer in the absence of other metastasis.

Key words
isolated small bowel metastasis, colon cancer, anastomotic recurrence

Reprint requests
Toshiaki Tsujimura Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kobe University
7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017 JAPAN

Accepted
May 31, 2006

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