Abdominal emergency in elderly: a case of small bowel obstruction and ischemia caused by bulky IA ovarian cancer.
Bowel obstruction resulting from colorectal and ovarian cancer is a serious and distressing complication of these malignancies. This may be caused by diffuse peritoneal carcinomatosis, bulky masses filling the pelvis and abdomen or postoperative adhesions, and should be carefully worked out by pre-operative imaging. We report the case of a small bowel obstruction and intestinal ischemia caused by a bulky (20x40 cm in diameter) cystic ovarian neoplasm that was found to be a stage IA G2 cystadenocarcinoma, successfully managed by uterus-sparing surgery.
Emergency Department, Division of Emergency Surgery and Trauma, Sapienza University, Rome, Italy.
M
M
Assenza
G
G
Campana
L
L
Centonze
L
L
Simonelli
V
V
Romeo
S
S
Marchese
C
C
Andreoli
C
C
Modini
D000006:Abdomen, Acute / Q000209:etiology*; D000369:Aged, 80 and over; D003248:Constipation / Q000209:etiology; D003536:Cystadenocarcinoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D004630:Emergencies; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000098:blood supply* / Q000473:pathology / Q000601:surgery; D007511:Ischemia / Q000209:etiology*; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010052:Ovariectomy; D012074:Remission Induction; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000209:etiology