2020 Volume 40 Issue 6 Pages 747-750
An 80–year–old male was admitted to a previous hospital a day prior for intestinal obstruction and kept under observation. However, his abdominal symptoms became worse, the patient went into septic shock, and he was transported to our hospital. Physical examination revealed abdominal distention. Abdominal CT revealed a tumor in the sigmoid colon with marked dilatation of the proximal part of the colon and small bowel, with portal venous gas. We diagnosed the patient as having septic shock secondary due to obstructive colitis caused by colon cancer and abdominal compartment syndrome (ACS). Intestinal necrosis was suspected and emergency operation was performed. The sigmoid colon was obstructed by a tumor, with extensive necrosis of the proximal segment of the bowel; therefore, we performed damage control surgery. At the first operation, we avoided anastomosis, and performed total colectomy and extensive resection of the necrotic small intestine. A second–look operation was performed on the following day. The patient was diagnosed as having ACS caused by obstructive colitis secondary to colon cancer.
