Ulcerative Colitis after Multidisciplinary Treatment for Colorectal Cancer with Multiple Liver Metastases: A Case Report

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  • TOMIOKA Kodai
    Department of Surgery, Totsuka Kyoritsu Dai-1 Hospital Department of Surgery, Division of Gastroenterological and General Surgery, Showa University Hospital
  • MURAI Noriyuki
    Department of Surgery, Totsuka Kyoritsu Dai-1 Hospital
  • FUKUSHIMA Motohiko
    Department of Surgery, Totsuka Kyoritsu Dai-1 Hospital
  • YOKOKAWA Hideo
    Department of Surgery, Totsuka Kyoritsu Dai-1 Hospital
  • YAMAZAKI Tatsuya
    Department of Surgery, Totsuka Kyoritsu Dai-1 Hospital Department of Surgery, Division of Gastroenterological and General Surgery, Showa University Hospital
  • MATSUDA Kazuhiro
    Department of Surgery, Division of Gastroenterological and General Surgery, Showa University Hospital
  • KOIZUMI Tomotake
    Department of Surgery, Division of Gastroenterological and General Surgery, Showa University Hospital
  • GOTO Satoru
    Department of Surgery, Division of Gastroenterological and General Surgery, Showa University Hospital
  • FUJIMORI Akira
    Department of Surgery, Division of Gastroenterological and General Surgery, Showa University Hospital
  • ENAMI Yuta
    Department of Surgery, Division of Gastroenterological and General Surgery, Showa University Hospital
  • OTSUKA Koji
    Department of Surgery, Division of Gastroenterological and General Surgery, Showa University Hospital
  • WATANABE Makoto
    Department of Surgery, Division of Gastroenterological and General Surgery, Showa University Hospital
  • AOKI Takeshi
    Department of Surgery, Division of Gastroenterological and General Surgery, Showa University Hospital
  • MURAKAMI Masahiko
    Department of Surgery, Division of Gastroenterological and General Surgery, Showa University Hospital

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Herein we report on an extremely rare case of ulcerative colitis （UC） with onset after chemotherapy and colorectal resection, and discuss three previously reported cases. A 61-year-old man presented with fecal occult blood and no subjective symptoms. The diagnosis was rectal cancer with multiple liver metastases. Following chemotherapy, the patient underwent laparoscopy-assisted super-low anterior resection, liver resection. On Day 35 following closure of the ileostomy, the patient was referred to Totsuka Kyoritsu Dai-1 Hospital because of diarrhea, bloody stools. Colonoscopy and pathological examination revealed UC. To the best of our knowledge, only three cases of UC following colorectal cancer resection have been described previously. In conclusion, when encountering intractable diarrhea after chemotherapy or surgery, UC should be one of the bowel diseases considered, with prompt systemic examination recommended.

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