Isolated Drain Site Metastasis After Open Resection in Ileal Adenocarcinoma—an Uncommon Site

Abstract

Although port site implants have been described after laparoscopic resection for gastrointestinal malignancies, drain site metastasis in solid intra-abdominal tumor after open resection is a rare phenomenon. Only few cases have been reported in literature describing drain site metastasis after open resection for carcinoma in the colon, stomach, cervix etc. Isolated drain site metastasis is even rare. To our knowledge, drain site recurrence after laparotomy for ileal cancer has not been published. We report a 50-year-old gentleman who had undergone laparotomy and ileal resection for distal ileal adenocarcinoma presented with an isolated drain site metastasis after 1 year of completion of chemotherapy.