Totally Laparoscopic Management with Natural Orifice Specimen Retrieval of a Rare Incidental Synchronous Colonic and Endometrial Cancer

Abstract

Aim: To present a rare case report of non-familial incidentally detected synchronous cancer involving splenic flexure of colon and endometrium managed by totally laparoscopic approach with both the specimens retrieved through vagina. Presentation of Case: A 56-year-old lady presented with pain abdomen and on evaluation diagnosed to have carcinoma of splenic flexure colon and endometrial cancer. Discussion: Synchronous transverse colon /splenic flexure and endometrial cancer is a very rare entity. In our case CECT played a vital role in early detection of asymptomatic colonic malignancy. Traditionally, the surgery for simultaneous double cancer of the  colon and uterus required a large laparotomy incision to the upper and lower abdomen. After extensive literature search, we believe this is the first reported case of non-familial synchronous malignancy of splenic flexure of colon and endometrium which was managed by totally laparoscopic approach and specimen retrieved through natural orifice. Conclusion: Totally laparoscopic approach with natural orifice retrieval of specimens for synchronous gastrointestinal and endometrial malignancy is safe and feasible in experienced hands.