[A Case Report of a Palliative Bowel Obstruction Surgery Due to Retro-Recurrence of Colon Cancer]

A 51-year-old woman underwent sigmoidectomy and ileostomy for perforated sigmoid colon due to cancer 1 year and 9 months prior to being admitted to our hospital with a complaint of abdominal pain following chemotherapy. Abdominal computed tomography showed multiple small intestine obstructions owing to retro-peritoneal recurrence of colon cancer. It was the difficult that the improvement of multiple small intestine obstruction of with the ileus tube and underwent open surgery. Intraoperative findings showed that the small mesentery was difficult to elevate due to retroperitoneal infiltration. There was intestinal stenosis at multiple sites. The intestinal tract, including the stenosis sites, from approximately 60 cm from the Treitz ligament to the end of the ileum was removed, and jejunal transverse colon bypass was performed. The clinical course was orally ingested and she was discharged from the hospital 54 days after surgery. Multidisciplinary treatment, including palliative surgery, contributed to the improvement of the patient's quality of life.