Hi, Thanks for writing in. Perforated bowel and intestinal adhesion can be caused by benign and malignancy. It is usually seen in benign conditions and only few cases are malignancy related. It will help to know if there is any mass or infection on CT scan that might be the cause for such a problem. Lowering of hemoglobin and hematocrit is a concern. Please get a peripheral blood smear done and this is a simple test to know if you have anemia and what type it is. DEXA scan is a low intensity X ray to measure bone density. When there is bone cancer, the density of bone in affected area changes as compared to surrounding bone. This difference is bone density can be appreciated.