title: [A Case of Small Intestinal Cancer Repeating an Ileus Symptom Complicated with Refractory Arrhythmia].
abstract: A 56-year-old man had been treated for hypertrophic cardiomyopathy since childhood. He had been treated for refractory ventricular tachycardia (VT) with interventricular septum cauterization, catheter ablation, and implantation of a defibrillator. He had been treated at home for several years. The ileus that developed in July 2014 was relieved by conservative medical treatment once, but it recurred after oral intake of food a short time later. The obstruction was due to a small intestine cancer that was diagnosed by enteroscopy. After considering the risks of surgery due to the cardiac problem and the quality of life due to ileus caused by the mass, we resected it. This surgery was not a radical resection because of peritoneal dissemination. He started oral food intake postoperatively, and returned to home care. Three months after surgery, oral chemotherapy was administered after considering his stable cardiac function in addition to his coherent mental status. An adverse event of severe watery diarrhea developed, and VT caused by dehydration occurred. After the chemotherapy was discontinued, he recovered in intensive care. He returned to home care at his prior status for 9 months postoperatively.
authors.affiliation: Dept. of Surgery, Kinki Central Hospital.
authors.forename: Toru
authors.initials: T
authors.lastname: Otsuru
authors.forename: Shohei
authors.initials: S
authors.lastname: Iijima
authors.forename: Naoto
authors.initials: N
authors.lastname: Tsujimura
authors.forename: Eiichiro
authors.initials: E
authors.lastname: Nakao
authors.forename: Takashi
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Kou
authors.initials: K
authors.lastname: Takachi
authors.forename: Kiyonori
authors.initials: K
authors.lastname: Nishioka
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Takemoto
authors.forename: Satoshi
authors.initials: S
authors.lastname: Oshima
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Uemura
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001145:Arrhythmias, Cardiac / Q000150:complications* / Q000628:therapy; D017115:Catheter Ablation; D006801:Humans; D007078:Ileal Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D045823:Ileus / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012008:Recurrence