Postoperation of cervical cancer with intestine metastasis: a case report and literature review.

Xiuyan Yu,Yang Liu,Zhen Wang,Zhigang Zhang,Jian Huang

doi:10.1186/s12957-015-0759-3

Abstract

BackgroundCervical cancer can infiltrate locally and directly spread to adjacent organs including the vagina, peritoneum, urinary bladder, ureters, rectum, and paracervical tissue, but the intestine metastasis from cervical cancer is extremely rare, which can easily be misdiagnosed.Case presentationHere, we report a case about a 45-year-old postoperative cervical cancer patient with metastases to small intestine and sigmoid colon who presented abdominal distention and dull pain due to intestinal obstruction. The patient underwent exploratory laparotomy, and two intestinal segments including the tumors were resected. The postoperative pathological diagnosis illustrated sigmoid colon and terminal ileum metastatic squamous cell carcinoma.ConclusionsThis case demonstrates that intestine metastasis must be considered in the differential diagnosis of acute abdomen in patients with cervical cancer even at an early tumor stage.

Highlights

Cervical cancer can infiltrate locally and directly spread to adjacent organs including the vagina, peritoneum, urinary bladder, ureters, rectum, and paracervical tissue, but the intestine metastasis from cervical cancer is extremely rare, which can be misdiagnosed.Case presentation: Here, we report a case about a 45-year-old postoperative cervical cancer patient with metastases to small intestine and sigmoid colon who presented abdominal distention and dull pain due to intestinal obstruction
This case demonstrates that intestine metastasis must be considered in the differential diagnosis of acute abdomen in patients with cervical cancer even at an early tumor stage
Things did not go the way we thought because do cervical cancer metastases to the intestine occur at an advanced tumor stage, but they occur at an early stage, even at stage IA

Summary

Conclusions

Clinicians should be aware that intestine metastasis must be considered in the differential diagnosis of acute abdomen in patients with cervical cancer even at an early tumor stage. Consent Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. This report adhered to the tenets of the Declaration of Helsinki. Competing interests The authors declare that they have no competing interests. Authors’ contributions XY and ZW contributed to the manuscript. JH is the corresponding author of the manuscript. XY participated in the design of the study. ZZ collected the patient’s data and provided the figures. XY, ZW, YL were involved in drafting the manuscript. All authors read and approved the final manuscript

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