2025 Volume 43 Issue 1 Pages 10-15
Synopsis: The most common mode of spread of cervical cancer is direct invasion of the vagina, peritoneum, ureter, bladder, and rectum. When distant metastases are present, lymph node, lung, and bone metastases are more common, and small bowel metastases are rare.
In this study, we performed laparoscopic surgery in a rare case of stage IIIB cervical cancer (squamous cell carcinoma, cT3bN1M0, FIGO 2008) treated with concurrent radiotherapy and chemotherapy as initial therapy, followed by small bowel metastasis as recurrence. Laparoscopic surgery included laparoscopic observation for lymph node removal at the time of lymph node recurrence and laparoscopic small bowel resection for small bowel metastases. Laparoscopic surgery is less invasive and helps to improve postoperative quality of life, making it an effective surgical technique.
We believe that cases of small bowel metastases from cervical cancer are rare, and we report our findings together with a review of the literature. Besides radiation enteritis and adhesive bowel obstruction, small bowel metastases should also be recalled as a cause of bowel obstruction in patients with cervical cancer.
