Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
A Case Report of Ileus Due to Rectal Cancer with Left Ventricular Insufficiency
Masashi UramatsuYoshihisa SaidaJiro NagaoMakoto TakaseKatsutaka SaiChidori OkumuraYouichi NakamuraYasushi NakamuraShinya KusachiHirohisa KajiwaraYoshinobu Sumiyama
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2003 Volume 23 Issue 5 Pages 843-847

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Abstract

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.

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© Japanese Society for Abdominal Emergency Medicine
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