Stenting the sigmoid colon in a terminally ill patient with prostate cancer.
Large bowel obstruction in the terminally ill patient can be difficult to manage. We describe a patient with sigmoid colon obstruction caused by metastatic prostate cancer in the pelvis who required hospitalization because of severe pain and obstructive symptoms. Treatment with an endoscopically placed self-expandable metal stent allowed the patient to have immediate resolution of symptoms and to receive hospice care at home.
Friedland
S
S
Endoscopy Unit, Veterans Affairs, Palo Alto Health Care System, Stanford University School of Medicine, Palo Alto, California, USA.
Hallenbeck
J
J
Soetikno
R M
RM
D003113:Colonoscopy / Q000379:methods*; D017809:Fatal Outcome; D006699:Home Care Services; D017051:Hospice Care / Q000379:methods*; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D010166:Palliative Care / Q000379:methods*; D011471:Prostatic Neoplasms / Q000473:pathology*; D011859:Radiography; D012811:Sigmoid Neoplasms / Q000150:complications* / Q000556:secondary*; D012812:Sigmoidoscopy / Q000379:methods*; D015607:Stents / Q000592:standards*