Abstract

A 81 year old man presented with a 3 months history of change in the bowel habit in form of alternating diarrhoea with constipation, significant weight loss over the last 6 months, and generalized fatigability. Laparotomy confirmed three cancers in the caecum, splenic flexure and rectosigmiod junction for which proctocolectomy and terminal ileostomy performed.

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