A Case of Metastatic Tumor of Small Intestine after 9 years of Operation for Uterine Cervical Cancer

Abstract

We present a case of ileus considered due to small intestinal metastasis from uterine cervical cancer. A 56-year-old woman admitted for abdominal pain and vomiting was found in abdominal x-ray to have a fluid accumulation. Based on a diagnosis of ileus, we conducted intestinal drainage, but to no avail. Laparotomy showed stenosis of the small intestine 30cm from the terminal ileum. We partially resected the ileum, including the tumor. Pathological findings indicated uterine cervical cancer metastasis. The postoperative course was uneventful and she is being followed up as an outpatient. Metastasis from primary uterine cervical cancer to the small intestine is very rare and, to our knowledge, ours is only the second case reported in Japan.