title: Retreatment of a patient who presented with synchronous multiple primary colorectal carcinoma: report of a case.
abstract: It is well known that one-stage resection of synchronous multiple primary colorectal carcinoma is an ideal choice if the patient's physical condition is not bad. Detailed examination of the whole intestinal tract is very important for patients with colorectal cancer, which could prevent patients from receiving repeat treatment to a great extent. We present a case report of a patient with synchronous primary colorectal cancer. Because pre- or intra-operative examination is not sufficient at his first consultation, the patient had undergone multiple operations after receiving chemotherapy, radiotherapy and intestinal stent insertion, which results in peritoneal adhesions formation. The preoperative placement of prophylactic ureteral catheters facilitated recognition of ureters in operation that assure the prevention of ureteral injuries. If not aware of the importance of detailed preoperative examination and standardized treatment can lead to wrong treatment as in this case. Prophylactic ureteral catheters might assist in their immediate recognition.
authors.affiliation: Colorectal Cancer Institute of the Heilongjiang Academy of Medical Sciences, Harbin 150086, China; ; Department of Colorectal Cancer Surgery, The 2nd Affiliated Hospital, Harbin Medical University, Harbin 150001, China.
authors.forename: Zheng
authors.initials: Z
authors.lastname: Jiang
authors.forename: Shan
authors.initials: S
authors.lastname: Muhammad
authors.forename: Xishan
authors.initials: X
authors.lastname: Wang
keywords: Synchronous multiple primary colorectal carcinoma; prophylactic ureteral catheters; repeat operation