Large bowel obstruction as an unusual presentation of pancreatic carcinoma

Abstract
Background: Large bowel obstruction due to pancreatic tail carcinoma is extremely rare. Case report: We present a case of large bowel obstruction and cecal perforation due to carcinoma of the tail of the pancreas. Conclusion: Despite of the poor prognosis of the cases reported so far, our patient is alive and disease free 12 months after emergent aggressive surgical therapy and adjuvant therapy.