Endoscopy 1999; 31(9): 828-830
DOI: 10.1055/s-1999-150
Case Report
Georg Thieme Verlag Stuttgart ·New York

Dissemination of Latent Colon Adenocarcinoma after Laparoscopic Cholecystectomy

 J. L. M. C. Azevedo,  D. Mattos,  M. Ricci,  O. Azevedo
  • Department of Surgery, Hospital São Paulo, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil
Further Information

Publication History

Publication Date:
31 December 1999 (online)

Preview

The seeding of neoplasms at trocar sites has been reported with increasing frequency. A case is presented of a 68 year-old woman with metastatic seeding of non-diagnosed colon cancer at the umbilical trocar site used for a laparoscopic cholecystectomy. Histopathological examination showed metastatic adenocarcinoma probably of gastrointestinal origin. A colonoscopy performed at the same time revealed a 2-cm lesion at the hepatic flexure which was shown histologically to be a differentiated adenocarcinoma. Diffuse peritoneal carcinomatosis was also found on computerised tomography. It is presumed that the primary colon cancer existed prior to cholecystectomy.

References

Prof. Dr.João Luiz M.C. Azevedo

Universidade Federal de São Paulo

Escola Paulista de Medicina

Ed. Técnica Operatória

Rua Botucatu, 740 - Térreo

04523-900, V. Clementino

São Paulo - SP

Brazil

Email: jozevedo.dcir@epm.br