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

  • 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
Published
2012-02-08
Section
Case Studies