PRACTICAL APPROACH TO TUMOR PERFORATIONS IN CANCER OF THE COLON - A SERIES OF 7 CASES

In 4 to 5% of cases, the cancer of large bowel is presented with a per foration in situ. The mortality rate in these conditions is high, and it is evaluated in the litterature between 40 to 50% of cases. The aut hors present their experience with 7 consecutive patients, operated fo r this complication. In all cases, the tumour is excised: in 6 patient s, terminal colostomy is realised while one patient only had a direct resection anastomosis. No per-operative mortality, was noted, and in f our patients retauration of intestinal tract is realised, within 3 to 6 months latter. In our experience, the perforated tumour does not app ear as a factor of immediate gravity.