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Abstract

Introduction
There are increasing reports of bowel cancer in cystic fibrosis, suggesting a possible causal link. Individuals with cystic fibrosis who have advanced lung disease present a high operative risk, limiting curative treatment options in early bowel malignancy.

Case presentation
We describe a 41-year-old Caucasian woman with cystic fibrosis and severe lung disease who had been considered for lung transplantation, who presented with rectal bleeding and was found to have a Stage I adenocarcinoma of the sigmoid colon. After considerable discussion as to the operative risks, she underwent a laparoscopic resection and remains relatively well 1 year postoperatively with no recurrence.

Conclusion
We discuss the complexity of the management decisions for cystic fibrosis patients with severe lung disease and early stage colonic malignancy, particularly in the context of potential need for lung transplantation. The case demonstrates that cystic fibrosis patients with very severe lung function impairment may undergo laparoscopic abdominal surgical interventions without compromising postoperative airway clearance.

Item Type:	Article
Authors/Creators:	Lees, AN and Reid, DW
Journal or Publication Title:	Journal of Medical Case Reports
ISSN:	1752-1947
DOI / ID Number:	https://doi.org/10.1186/1752-1947-2-384
Additional Information:	This work is licensed under a Creative Commons Attribution 3.0 License: http://creativecommons.org/licenses/by/3.0/
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