A Case of Rectal Cancer with Protein-Losing Gastroenteropathy

We report a case receiving laparoscopic surgical resection of rectal cancer with protein-losing gastroenteropathy. A 58- year-old man was referred to our hospital because of melena, diarrhea, and anorexia. He showed septic shock, anemia, and hypoproteinemia. CT scan showed a rectal tumor with region...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 49; no. 13; p. 2010
Main Authors Nagai, Kenichi, Matsushita, Kazuko, Yamashita, Shinya, Hideo, Ota, Ikushima, Hirofumi, Mizuno, Hitoshi
Format Journal Article
LanguageJapanese
Published Japan 01.12.2022
Subjects
Colonic Neoplasms
Colonoscopy
Diarrhea
Humans
Hypoproteinemia
Male
Middle Aged
Rectal Neoplasms - complications
Rectal Neoplasms - drug therapy
Rectal Neoplasms - surgery
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Summary:We report a case receiving laparoscopic surgical resection of rectal cancer with protein-losing gastroenteropathy. A 58- year-old man was referred to our hospital because of melena, diarrhea, and anorexia. He showed septic shock, anemia, and hypoproteinemia. CT scan showed a rectal tumor with regional lymph node swelling and a cavernous lung lesion with a pulmonary embolus. Ninety-five days after admission to intensive care, he was introduced to our department because of the disappearance of a lung lesion indicating a lung abscess. Colonoscopy showed a cauliflower-like type 1 rectal cancer lesion. He experienced laparoscopic low anterior resection 121 days after admission. He was discharged without problems 66 days after the operation. After 8 months of surgery and no chemotherapy, he had no recurrence of rectal cancer. Colon cancer with protein-losing gastroenteropathy is rare and shows a typical cauliflower-like type 1 tumor appearance. Hypoproteinemia can be improved after resection of colon cancer.
ISSN:0385-0684