title: Acute large bowel obstruction secondary to stage 4 colonic carcinoma in an elderly man with severe aortic stenosis: a therapeutic challenge.
abstract: Colonic adenocarcinoma is a common gastrointestinal malignancy affecting the elderly, and has a multifactorial aetiology. Depending on the individual circumstances, surgical resection is the treatment of choice for colon cancer even for oligometastasis. Metastatic evidence as well as presence of comorbidities, particularly in the elderly, make surgical management difficult and often present a clinical challenge for clinicians. This is a case report exploring the treatment options for an 80-year-old male patient presenting with acute large bowel obstruction secondary to colonic adenocarcinoma with disseminated metastases and severe aortic stenosis.
authors.affiliation: Department of Surgery, Kasturba Medical College, Manipal, India.
authors.forename: Raghunath
authors.initials: R
authors.lastname: Prabhu
authors.forename: Neha
authors.initials: N
authors.lastname: Kumar
authors.forename: Sakshi
authors.initials: S
authors.lastname: Sadhu
authors.forename: Arjun
authors.initials: A
authors.lastname: Natarajan
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary / Q000601:surgery*; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000150:complications; D003110:Colonic Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D008113:Liver Neoplasms / Q000556:secondary*; D008175:Lung Neoplasms / Q000556:secondary*; D008297:Male; D010166:Palliative Care