On the morning of April 1, I performed radical right hemicolectomy for an 88-year-old male with recurrent intestinal obstruction. Intraoperatively, the tumor was found to have infiltrated into the plasma membrane of the ascending colon and the retroperitoneum and the surrounding tissues were severely adherent with enlarged surrounding lymph nodes. The small intestine showed extensive membranous adhesions. The adherent small intestine was separated and a radical resection of the right hemicolectomy with lymphatic dissection was performed. The ileo-colonic end-lateral anastomosis was performed with a 29 MM tubular anastomosis. 60 MM closure of the colonic stump was performed. The operation was smooth. It took 3 hours. One week after the operation, the patient is recovering well and is now eating a liquid diet. He has no complaints and will be discharged from the hospital soon.
The patient was hospitalized four times and discharged after symptomatic treatment to correct the anemia. Last month, the above symptoms appeared again, accompanied by abdominal pain, abdominal distension, stopped defecation and exhaustion and other symptoms of intestinal obstruction. The author has encountered more than ten cases of this kind of patients in recent years.
In the early stage, they were treated symptomatically in internal medicine or outside hospital, and after the symptoms were relieved, no further investigation was done to find out the real cause of obstruction. At this time, the best treatment time is often missed and the treatment effect is affected. This kind of patients remind us to be alert to the occurrence of intestinal obstruction due to tumor when they are older and have recurrent symptoms of intestinal obstruction and the cause cannot be clearly identified.