Tube Stoma for the Management of Ileocolic Anastomotic Leak in a Patient With Metastatic Colon Cancer

This case involves a 53-year-old male who was diagnosed with stenotic ascending colon cancer and peritoneal metastatic deposits. He was initially planned for cytoreductive surgery and heated intraperitoneal chemotherapy (CRS and HIPEC), along with resection of the primary tumor in the form of right...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 16; no. 1; p. e52314
Main Author Elsayed, Mohammed I
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 15.01.2024
Cureus
Subjects
Abdomen
Antibiotics
Cancer therapies
Cardiac arrhythmia
Catheters
Chemotherapy
Colon
Colorectal cancer
Critical care
Emergency Medicine
General Surgery
Habitus
Intubation
Morbidity
Mortality
Multidisciplinary teams
Oncology
Ostomy
Peritonitis
Physical therapy
Surgery
Surgical anastomosis
invasive colon cancer
right hemicolectomy
cytoreductive surgery and hipec
abdominal sepsis
colorectal anastomotic leak
tube ileostomy
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Summary:This case involves a 53-year-old male who was diagnosed with stenotic ascending colon cancer and peritoneal metastatic deposits. He was initially planned for cytoreductive surgery and heated intraperitoneal chemotherapy (CRS and HIPEC), along with resection of the primary tumor in the form of right hemicolectomy. Intraoperatively, the disease was found to be more extensive than anticipated. Consequently, the plan was modified to include debulking right hemicolectomy with hand-sewn ileocolic anastomosis and extensive peritoneal procedures. Postoperatively, he experienced an anastomotic leak, leading to another laparotomy. However, due to anatomical challenges, creating a stoma was considered unsafe. Therefore, innovative interventions were performed, including controlling the anastomotic defect with a 30Fr Foley catheter without disrupting the anastomosis. A collaborative effort from various medical teams facilitated the patient's discharge home after an extended stay in the critical care unit (CCU).
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.52314