A case of duodenal perforation during bevacizumab combination chemotherapy in a patient with multiple lung metastasis after a sigmoidectomy

Hirofumi Suzumura, Hiroharu Shinozaki, Rie Kondo, Masatoshi Yamaguchi, Yukiko Torizaki, Yosuke Ozawa, Yurie Futoh, Tadashi Matsuoka, Kenji Matsumoto, Masazumi Inoue, Yuichi Sasakura, Toshiaki Terauchi, Masaru Kimata, Junji Furukawa, Kenji Kobayashi, Yoshiro Ogata

Research output: Contribution to journalArticlepeer-review

Abstract

A 73-year-old man underwent laparoscopic sigmoidectomy for sigmoid colon cancer. Two years after the operation, multiple lung metastasis was diagnosed and chemotherapy with bevacizumab, irinotecan, and TS-1® was started in the patient. However, epigastric pain developed 73 days after the initial course of chemotherapy. Abdominal CT revealed duodenal perforation and generalized peritonitis. Emergency operation with omental patch closure was immediately performed. The patient was discharged 15 days after the emergency operation without any complication. This is an extremely rare case of bevacizumab-related duodenal perforation.

Original languageEnglish
Pages (from-to)953-955
Number of pages3
JournalJapanese Journal of Cancer and Chemotherapy
Volume46
Issue number5
Publication statusPublished - 2019 May
Externally publishedYes

Keywords

  • Bevacizumab
  • Duodenal perforation

ASJC Scopus subject areas

  • Medicine(all)

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