title: [Case of advanced colon cancer after colostomy closure].
abstract: We report a case of advanced colon cancer after closure of a colostomy. A 77-year-old man suddenly began experiencing abdominal pain and pan-peritonitis due to perforate diverticulum of the sigmoid colon. A Hartmann operation was urgently performed, and closure of the colostomy was performed 6 months later. The patient had no history of colonoscopy. Colonoscopy was performed 45 months after the closure of the colostomy to examine the colon. Advanced colon cancer was detected near the anastomotic region. In conclusion, older patients, including those with numerous disease complications such as diabetes and hypertension, should undergo early colonoscopy as a preventative measure.
authors.affiliation: Dept. of Surgery, Kano General Hospital.
authors.forename: Shinya
authors.initials: S
authors.lastname: Yamashita
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Terashima
authors.forename: Junichi
authors.initials: J
authors.lastname: Tanaka
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Sakai
authors.forename: Iwao
authors.initials: I
authors.lastname: Seshimo
authors.forename: Masahiro
authors.initials: M
authors.lastname: Tanemura
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Kano
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000369:Aged, 80 and over; D003125:Colostomy; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D008297:Male; D010538:Peritonitis / Q000209:etiology / Q000601:surgery; D012811:Sigmoid Neoplasms / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome