This is a 67 year-old, white male underwent sigmoid colectomy in August of 1994 and was found to have synchronous metastatic disease in his liver. At that time he elected not to receive chemotherapy or treatment. Since his colectomy he has been completely functional and asymptomatic. Three years later, in April of 1997, he developed symptoms of renal colic with gross hematuria. Urinalysis in May of 1997 revealed no abnormalities. An IVP was performed in June of 1997 which also demonstrated a normal kidney. He feels that he is otherwise healthy and continues to live a normal lifestyle.

His past medical history is significant for sigmoid colon cancer, benign prostatic hypertrophy (BPH) and coronary artery disease (CAD).

His past surgical history includes trans-urethral resection of the prostate (TURP) in 1988 and angioplasty with placement of a stent in 1995.

He denies the use of tobacco or alcohol.

Review of systems is significant for CAD, and GU history.

Physical:

On exam, we find a healthy appearing 67 year-old white male in no apparent distress. His sclera are anicteric, his neck is supple without any lymphadenopathy. Auscultation of his heart was normal with regular rate and rhythm. His lungs were clear to auscultation bilaterally. His abdomen was soft, nontender and bowel sounds are present. Rectal exam was guaiac negative.

Admission Labs:

A CT scan of the abdomen, chest and pelvis were obtained. The patient was seen by his home cardiologist for preoperative evaluation.