A Case of Advanced Colon Cancer Perforation Identified During Resuscitation Treatment for Cardiopulmonary Arrest

Abstract

A 46-year-old woman was diagnosed as having a large bowel obstruction caused by sigmoid colon cancer. She went into cardiopulmonary arrest while undergoing conservative medical treatment with a trans-anal ileus tube. She was resuscitated by defibrillation, but remained in a coma. During therapeutic hypothermia, the tumor perforated. A Hartmann's operation was performed, and she recovered with no neurological damage. Metastatic tumors in the liver and lung were treated using surgery and chemotherapy, and she survived for 4 years and 8 months after the first operation.