The possibility of bowel metastasis in patient repeatedly irradiated due to recurrent cervical cancer

Cases of cervical cancer metastatic to the bowel are not rare because recurrent cervical cancer can commonly metastasize to nearby structures by direct extension. However, in recurrent cervical cancer patients who have received repeated radiation therapy, the treatment approach for acute abdominal pain has been generally established based on the first diagnostic impression of radiation enteritis. Therefore, we want to report with the aim of notifying that the possibility of bowel metastasis, especially in patients who have repeatedly received radiation therapy for recurrent cervical cancer, should also be considered not only for radiation enteritis. Here, we report the case which showed the clinical diagnosis of radiation enteritis after receiving repeated radiation therapy for recurrent cervical cancer, but showed the final pathologic diagnosis of bowel metastasis.