Large bowel obstruction in women with pelvic malignancies. What is the primary?

Abstract:

BACKGROUND:Large bowel obstruction is occasionally the mode of presentation of advanced colorectal or pelvic malignancies, and a prognostic of poor survival. The choices of treatment range from palliative tube decompression to curative or palliative surgery. METHODS:Twelve out of 500 women with various malignancies and symptomatology of large bowel obstruction were studied. All patients required urgent exploratory laparotomies. RESULTS:The primary site was established intra-operatively to be the colon (2 cases), stomach (2 cases) and ovaries (2 cases). In the remaining 6 cases there was uncertainty about the origin of primary disease. Routine histology and immuno-histochemistry of the specimens revealed the origin of primary malignancy in all cases. CONCLUSIONS:Meticulous histological examination is essential for the establishment of correct diagnosis and selection of the best available treatment in women with pelvic malignancies, presenting with acute bowel obstruction.

journal_name

Tech Coloproctol

authors

Papapolychroniadis C,Kaimakis D,Giannoulis K,Berovalis P,Fotiadis P,Maidatsi P,Zaralidou A,Kokkonis G,Papakonstantinou P,Giala M,Harlaftis N

doi

10.1007/s10151-004-0127-8

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

s108-11

eissn

1123-6337

issn

1128-045X

journal_volume

8 Suppl 1

pub_type

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