[A Case of Rectal Cancer Resection with Total Cystectomy That Avoided a Double Stoma]

A 65-year-old male was admitted to our hospital with symptoms of perineal redness, fever, and hematuria. CT showed bladder wall thickening and a continuous rectum. Rectal cancer was suspected to have invaded the bladder and caused a urinary tract infection. A laparoscopic transverse colostomy was performed. Subsequent contrast-enhanced CT revealed rectal cancer with multiple liver metastases and abscess formation around the urethra. To control the infection, a laparoscopic low anterior resection with total cystectomy was performed. An ileal conduit was selected for urinary diversion. Six months later, after the colostomy was closed, the patient only required management of the ileal conduit. Chemotherapy for liver metastasis was initiated 10 months after surgery.