# Tube Stoma for the Management of Ileocolic Anastomotic Leak in a Patient With Metastatic Colon Cancer

## TL;DR

A patient with colon cancer and a surgical complication was managed with an innovative approach involving a catheter to control the leak without further surgery.

## Contribution

The paper presents an innovative non-surgical method using a Foley catheter to manage an anastomotic leak in a complex cancer case.

## Key findings

- An anastomotic leak occurred after surgery for metastatic colon cancer.
- A 30Fr Foley catheter was used to manage the leak without disrupting the anastomosis.
- The patient was successfully discharged after critical care following a multidisciplinary approach.

## Abstract

This case involves a 53-year-old male who was diagnosed with stenotic ascending colon cancer and peritoneal metastatic deposits. He was initially planned for cytoreductive surgery and heated intraperitoneal chemotherapy (CRS and HIPEC), along with resection of the primary tumor in the form of right hemicolectomy. Intraoperatively, the disease was found to be more extensive than anticipated. Consequently, the plan was modified to include debulking right hemicolectomy with hand-sewn ileocolic anastomosis and extensive peritoneal procedures. Postoperatively, he experienced an anastomotic leak, leading to another laparotomy. However, due to anatomical challenges, creating a stoma was considered unsafe. Therefore, innovative interventions were performed, including controlling the anastomotic defect with a 30Fr Foley catheter without disrupting the anastomosis. A collaborative effort from various medical teams facilitated the patient's discharge home after an extended stay in the critical care unit (CCU).