15 October 2021
: Case report
Successful En Bloc Resection of Locally Advanced Pancreatic Tail Cancer with Colonic Perforation Following Neoadjuvant Chemotherapy: A Case Report
Unusual setting of medical care
Shigeyuki Harada1ABCDEF*, Taku Iida1ABCDF, Satsuki Asai2BCD, Kojiro Nakamura1ABCDF, Misa Ishihara2BCD, Junji Iwasaki1ABCDF, Atsushi Itami1ABCDF, Takahisa Kyogoku1ABCDFDOI: 10.12659/AJCR.933226
Am J Case Rep 2021; 22:e933226
Table 2. The reported cases of pancreatic cancer with colonic perforation.
| Author | Year | Age | Gender | Chief concern | Location | Neoadjuvant therapy |
|---|---|---|---|---|---|---|
| Slam KD | 2007 | 78 | M | Abdominal painNauseaDistention | Tail | – |
| Takiuchi | 2019 | 69 | F | Abdominal pain | Tail | – |
| Kurata | 2019 | 82 | M | Abdominal pain | Tail | – |
| Our case | 66 | M | Fever | Tail | FOLFIRINOX | |
| Author | Perforated site | Therapeutic strategy | Resected involved organs | Adjuvant chemotherapy | Prognosis (month) | Notification |
| Slam KD | Cecum | Left colon | – | 3 | ||
| Takiuchi | Unknown | ColostomyTransabdominal drainageChemotherapy | – | – | 24 | Classified unresectable because of peritoneal dissemination |
| Kurata | Splenic flexure of transverse colon | Extended DP | Colon | S-1 | 9 | Infected pancreatic cyst was treated by antibacterial drugs |
| Our case | Splenic flexure of transverse colon | Partial colon, stomach, jejunum, left kidney, abdominal wall | S-1 | 19 |






