Extended right hemicolectomy
Posted on: October 2, 2006
- In: operations
- 1 Comment
2.10.06 (Dussehra holiday)
An emergency laparotomy (on a holiday) for obstructing colon cancer. The patient was a staff nurse Paramjit Kaur Hundal 45 years old admitted with large bowel obstruction and bleeding per rectum. Family history of large bowel cancer was present. Colonoscopy showed a lesion at 60 cm, and CT scan showed a big growth at splenic flexure. Biopsy (colonoscopic) – adenocarcinoma WD.
An extended right hemicolectomy was performed. Specimen showed a big tumor near splenic flexure and lots of ulcerations and nodules in an area of angry-looking field change proximal to the tumor.
Remains well till last seen (2015 November).
In July, 2025, the patient contacted me again and said she remains well, with some general age-related issues.
Dr Mohinder Singh's blog 
August 5, 2007 at 10:58 am
remained well clinically; but continued to have raised CEA which, however, dropped to normal level in June 2007, nearly 8 months after operation and after completion of her chemotherapy
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