Abstract
An 82-year-old female who suffered from severe abdominal pain and anal bleeding was admitted to the Yokohama Sakae Kyousai Hospital for the surgical treatment of expanding abdominal aneurysm and bleeding colon cancer. Under satisfactory epidural anesthesia with nitrous oxide and oxygen, abdominal infrarenal aneurysm was first resected and replaced with a woven dacron bifurcated graft by means of aortic-bilateral iliac bypass grafting, careful shielding with the retro-peritoneum was added to prevent postoperative bacterial infection. Next, partial resection of the sigmoid colon with tumor mass was undertaken using end-to-end anastomosis, and colostomy was performed at the right flexsure of the colon. Her postoperative course was uneventful and the stoma was closed under local anesthesia one month after the operation. Two years after surgery this patient is doing well.
We demonstrated here that simultaneous operation for abdominal aneurysm and early stage of cancer of the sigmoid colon can be done with minor risk and this one-stage operation may be recommended in selected cases.
