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Updated: Jul 20, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Colonic carcinoma with multiple small bowel perforations mimicking intestinal obstruction
Satyendra K Tiwary1, Manish K Singh, Rahul Khanna
1Department of General surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, India. drsktiwary1@gmail.com
Background:
Carcinoma of the colon may present with perforation proximal to the site of malignancy. Caecum is the commonest site of perforation if the ileocecal valve is patent and the jejunal and ileal perforations are very rare.
Case Presentation:
A 35 year male presented with intestinal obstruction. Emergency laparotomy revealed carcinoma of the transverse colon with multiple pinpoint perforations along antimesenteric border of ileum, which were wrapped with omentum, and no peritoneal contamination was present. Extended right hemicolectomy with jejunocolic anastomosis was done. Patient made uneventful recovery in postoperative period and was treated with adjuvant chemotherapy.
Conclusion:
Patients with colonic carcinoma and incompetent ileocecal valve may present with intestinal perforation. Increased intraluminal pressure and closed loop obstruction may lead to ischemia and perforation of the small bowel.
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