Abstract
A 48-year-old man was seen at the hospital because of abdominal distension and stool with blood mucus. There was a history of ulcerative colitis which was diagnosed 8 years before and could be subsided conservative treatment for several months. The patient had been left the lesion without receiving any further examinations of the colon thereafter.
On this admission barium enema and lower gastrointestinal series revealed a diagnosis of ulcerative colitis extending over the entire colon with an association of an advanced rectal carcinoma (Rs-Ra-Rb). Total colectomy with excision of the rectum was performed, followed by ileostomy. Once the patient recovered and was discharged from the hospital, however, about 10 months later, local recurrence developed. He died of multiple lung and liver metastases.
