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CASE 21: Rectal cancer with sacral metastasis
- Hits: 70
- 64-year-old male patient
- The patient has a history of surgery, chemotherapy, and radiotherapy for rectal cancer.
- The patient presented with complaints of tailbone pain, difficulty sitting and urinating, and tingling and numbness, particularly in the sole of the left foot.
- There were no additional metastases on the scan.
- The patient had previously undergone repeated curettage and cementation operations.
- Total sacrectomy was performed while preserving the roots of the first sacral nerve.
- The patient was discharged without any problems.
Before the surgery: X-rays show nephrostomy catheters, bone cement in the sacrum, and destruction.
Before the surgery: CT and MRI scans show previously applied bone cement, destruction, and recurrent tumor in the sacrum.
During the Surgery: The procedure involves preservation of both first sacral roots, reconstruction, and wound closure with a local flap.
Post-Surgery: The X-ray shows reconstruction surgery after total sacrectomy with titanium cage and lumbopelvic fixation.
