A CASE REPORT OF OBSTRUCTIVE COLITIS WITH EXTENSIVE LESION DUE TO SIGMOID COLON CANCER

Abstract

A 45-year-old female was admitted to our hospital because of abdominal pain and bloody stool. Barium enema study showed that sigmoid colon was imcompletely obstructed by Borrmann 2' type cancer and ragged sawtooth irregularity in the descending colon and thumb printing sign in the transverse colon. On the next day of the hospitalization endoscopic finding showed that multiple edematous nodular surface mucosa with diffuse ulcerations and erosions from the descending colon to the transverse colon through the normal mucosa proximal to Borrmann 2' type cancer of the sigmoid colon. It was diagnosed as obstructive colitis associated with the sigmoid colon cancer. One week later operation was performed. During the operation large geographic or longitudinal ulcers from the descending colon to the transverse colon was found by endoscopic examinations.