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Background: Large bowel obstruction due to pancreatic tail carcinoma is extremely rare. Case report: We present a case of large bowel obstruction and cecal perforation due to carcinoma of the tail of the pancreas.  Conclusion: Despite of the poor prognosis of the cases reported so far, our patient is alive and disease free 12 months after emergent aggressive surgical therapy and adjuvant therapy.

Large bowel obstruction as an unusual presentation of pancreatic carcinoma