Right colon cancer presenting as hemorrhagic shock

作     者：Tomoyuki Iwata Kazuo Konishi Takahisa Yamazaki Katsuya Kitamura Atsushi Katagiri Takashi Muramoto Yutaro Kubota Yuichiro Yano Yoshiya Kobayashi Toshiko Yamochi Nobuyuki Ohike Masahiko Murakami Takehiko Gokan Nozomi Yoshikawa Michio Imawari 

作者机构：Division of GastroenterologyDepartment of MedicineShowa University School of Medicine Second Department of PathologyShowa University School of Medicine First Department of PathologyShowa University School of Medicine Division of Gastroenterogical SurgeryDepartment of SurgeryShowa University School of Medicine Department of RadiologyShowa University School of Medicine Endoscopic CenterShowa University HospitalShowa University School of Medicine 

出 版 物：《World Journal of Gastrointestinal Pathophysiology》 (世界胃肠病理生理学杂志（英文版）（电子版）)

年 卷 期：2011年第2卷第1期

页      面：15-18页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Colon cancer Hemorrhagic shock Adjacent organs invasion En bloc resection Complication 

摘      要：A 67-year-old man visited our hospital with a history of continuous hematochezia leading to hemorrhagic *** abdominal computed tomography scan re-vealed a large mass in the ascending colon invading the duodenum and pancreatic head as well as extra-vasation of blood from the gastroduodenal artery(GDA) into the *** revealed an irregular ulcerative lesion and stenosis in the ascending ***,right hemicolectomy combined with pylorus-preser ving pancreaticoduodenectomy was ***,the tumor was classified as a moderately differentiated ***,cancer cells were mainly located in the colon but had also invaded the duode-num and pancreas and involved the ***,the tumor cells were positive for cytokeratin(CK)20 and carcinoembryonic antigen(CEA)but not forCK7 and carbohydrate antigen(CA)*** patient died 23 d after the surgery because he had another episode of arterial bleeding from the anastomosis *** En bloc resection of the tumor with pancreatico duodenectomy and colectomy performed for locally advanced colon cancer can ensure long-term survival,patients undergoing these procedures should be carefully monitored,particularly when the tumor involves the main artery.