2003 Volume 23 Issue 5 Pages 843-847
We report a case of obstructive rectal cancer with left ventricular insufficiency treated operatively after using a stent endoprosthesis for colorectal cancer (SECC). A 66-year-old man with dyspnea suffering from atrial fibrilation, ischemic heart disease, and diabetes mellitus was admitted and diagnosed with ileus by abdominal radiography. Ultrasound cardiography showed a left ventricular ejection fraction of 29%. We conducted a colonoscopy to determine the cause of ileus and found obstructive rectal cancer. We conductel SECC and his clinical condition improved. After SECC and medical intervention, his general condition was improved. We conducted Hartmann's method after mechanical preparation with PEG. The patient did well postoperatively and was discharged an postoperative day 37. We recommend SECC in ileus to improve the general condition of patients.