A case report of complete resection of the recurrence small intestinal carcinoma with abdominal wall repair using femoral fascia

The patients had Hartmann's operation for rectal cancer when she was 61 years old. After that, she underwent the operation for small bowel cancer when she was 68 years old. After 5 months, the only metastatic lesion was detected near the S-colon stoma. For the first therapy, She received chemotherapy (mFOLFOX6 plus bevacizumab) and had a reducing effect. She was introduced to our hospital for the purpose of resection of the recurrent lesion. CT scan detected a nodule near the S-colon stoma with FDG uptake for PET-CT scan. The lesion was resected with S-colon stoma. The abdominal wall defect was so large, we performed abdominal wall plasty with a femoral fascia patch. Seven months after surgery, there is no recurrence. Small bowel tumor is a rare case. This disease frequency about 0.1-0.3% and the treatment strategy is not well established. We reported that complete resection of the recurrence small intestinal carcinoma with abdominal wall repair using femoral fascia after the chemotherapy.