Open AccessSimultaneous operation for cancer‐related sigmoid colon perforation and abdominal aortic aneurysm of 76 mm in diameter
Author(s) -
Tsutsumi Ryosuke,
Hiyoshi Yukiharu,
Matsumoto Takuya,
Oki Eiji,
Morita Masaru,
Maehara Yoshihiko
Publication year - 2016
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.134
Subject(s) - medicine , perforation , surgery , abdominal aortic aneurysm , sigmoid colon , peritonitis , abdomen , aneurysm , radiology , perioperative , abdominal pain , colorectal cancer , cancer , rectum , punching , materials science , metallurgy
Case A 92‐year‐old woman was emergently admitted to our hospital for peritonitis caused by sigmoid colon cancer perforation, with a coexistent abdominal aortic aneurysm of 76 mm in diameter. Outcome A 92‐year‐old woman was admitted to the hospital with a complaint of abdominal pain and fever of 24‐h duration. On physical examination, severe tenderness with muscular defense and a palpable, pulsating mass were detected in the upper abdomen. The patient was diagnosed as having panperitonitis caused by sigmoid colon perforation. Computed tomography also revealed an infrarenal abdominal aortic aneurysm of 76 mm in diameter. We performed endovascular aneurysm repair to prevent aneurysmal rupture in the perioperative period and simultaneously performed intra‐abdominal drainage and H artmann's operation. The patient's postoperative course was uneventful. Conclusion Simultaneous endovascular aneurysm repair and operation for peritonitis is considered a possible treatment strategy for patients at high risk of abdominal aortic aneurysm rupture.