Report from Victoria Hospital
Prince Albert, Saskatchewan, Canada
Attending Physician: Randy Friesen
Admission Date: 2000 December 12
Discharge Date: 2000 December 20

DISCHARGE DIAGNOSIS
Adenocarcinoma of the left colon, complicated by large bowel obstruction, malnutrition, and dehydration.

This gentleman, who was extrimely fit and a long distance runner, presented with prograssive symptoms of crampy abdominal pain and obstopation. We took him to the operating room and found a small but obstructing carcinoma right at the splenic flexure. He underwent a resection of the tumor with decompression tube cecostomy and primary anastomosis.

Postoperatively he did very well, although his food balance was difficult because of his massive dehydration, which was somewhat concealed by his extreme cardiovascular fitness.

His overall recovery was slow, but essentially unremarkable with good wound healing, good restoration of gut function, and with the cecostomy tube being removed at the time of discharge.

There were no signs of metastases at the time of surgery. Final pathology revealed a Duke's B2 lesion. This information was given to the patient by telephone a couple of days after the discharge.

I will be following him up with in the next couple of weeks. I do not think further treatment will be required.

He will need a cleaning colonoscopy sometime within the next few months, after he has recovered and get better.

After the surgery, the patient did reveal that his mother has been treated for colon polyps within the recent past. He was also counseled about surveillance screening for other family menbers.

Dr. Randy Friesen

cc: Dr. L. Lanoie
cc: Saskatoon Cancer Center