Malignant colonic stricture with cecal perforation - A case report and a review of literature

A 79-year-old Saudi female with cecal perforation as a result of colonic malignant stricture is presented. This was treated by emergency subtotal colectomy and ileo-colic anastomosis with satisfactory result. This case reinforces the fact that patients above the age of forty with gastrointestinal symptoms require full work-up to rule out malignancy. Also it shows that abdominal ultrasound alone is of limited diagnostic value in detecting colonic stricture. Thirdly, large bowel obstruction, especially, when total should be treated urgently to avoid cecal perforation