A Case of Cerebral Hemorrhage after Postoperative Adjuvant Chemotherapy for Rectal Cancer

Abstract

A 71-year-old man was diagnosed with a bowel obstruction caused by rectal cancer. He underwent intersphincteric resection and 12 courses of adjuvant chemotherapy (mFOLFOX6). He showed no recurrence during the follow-up. However, he experienced right hypochondrial pain and was admitted with a diagnosis of acute cholangitis with disseminated intravascular coagulation. On day 18 of hospitalization, he developed a sudden headache and a simple head computed tomography showed a cerebral hemorrhage. He died on the same day. We considered that the cause of the hemorrhage was a hemorrhagic cerebral infarction or a cerebellar metastasis.