Colonic metastasis from carcinoma cervix: an unusual cause of intestinal obstruction

Authors

  • Shyama Prem Jawaharlal Institute of Postgraduate Medical Education and Research
  • K Sathyanarayana Reddy Jawaharlal Institute of Postgraduate Medical Education and Research
  • Selvarajan Gangothri Jawaharlal Institute of Postgraduate Medical Education and Research
  • Debdatta Basu Jawaharlal Institute of Postgraduate Medical Education and Research
  • V Parthasarathy Jawaharlal Institute of Postgraduate Medical Education and Research

Keywords:

Colonic metastasis, carcinoma, cervix, radiation, intestinal obstruction

Abstract

Intestinal obstruction is a rare complication after pelvic radiotherapy for carcinoma cervix. Metastasis from carcinoma of the uterine cervix to the gastrointestinal tract is uncommon. We report a case of a 36-year-old woman who was treated by concurrent chemo-radiation for stage II B carcinoma of the uterine cervix. Five years later, she presented with acute intestinal obstruction. A laparotomy revealed a metastatic growth in the transverse colon, which was resected. The colon is an unusual site for metastasis from carcinoma cervix, and it has to be differentiated from a primary squamous cell carcinoma of the colon. Resection of the metastatic lesion may help palliate acute intestinal obstruction, and possibly prevent a perforation, which can rapidly become fatal.

Author Biographies

  • Shyama Prem, Jawaharlal Institute of Postgraduate Medical Education and Research
    Assistant Professor Department of Radiotherapy JIPMER
  • K Sathyanarayana Reddy, Jawaharlal Institute of Postgraduate Medical Education and Research
    Professor and Head Department of Radiotherapy JIPMER Puducherry
  • Selvarajan Gangothri, Jawaharlal Institute of Postgraduate Medical Education and Research
    Junior Resident Department of Radiotherapy JIPMER Puducherry
  • Debdatta Basu, Jawaharlal Institute of Postgraduate Medical Education and Research
    Professor Department of Pathology JIPMER Puducherry
  • V Parthasarathy, Jawaharlal Institute of Postgraduate Medical Education and Research
    Junior Resident Department of Radiotherapy JIPMER Puducherry

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Published

2012-02-08

Issue

Vol. 4 No. 1 (2012)

Section

Case Studies

License

South African Journal of Gynaecological Oncology (SAJGO) Copyright is held by South African Society of Gynaecologic Oncology (SASGO). Copyright of the articles is held by the authors. The work is licensed under a Creative Commons Attribution-Non-Commercial Works 4.0 South Africa License (CC BY NC). Material submitted for publication in the SAJGO is accepted provided it has not been published elsewhere. The SAJGO does not hold itself responsible for statements made by the authors. The opinions expressed in this publication are those of the authors. They do no purport to reflect the opinions or views of SASGO or its members.