PARTICULARITIES OF DIAGNOSIS AND TREATMENT IN A CASE OF SYNCHRONOUS COLORECTAL CANCER

  • Florentina Mușat University of Medicine and Pharmacy “Carol Davila” Bucharest, Romania
  • M. Coțofană Emergency University Hospital Bucharest, Romania
  • Alexandra Bolocan The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania; Emergency University Hospital Bucharest, Romania
  • O. Andronic The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania; Emergency University Hospital Bucharest, Romania
  • D. N. Păduraru The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania; Emergency University Hospital Bucharest, Romania
Keywords: syncronous colorectal cancer, diabetes, bowel obstruction

Abstract

In literature, synchronous colorectal cancer refers to the simultaneous presence of two or more
malignant lesions located along different segments of the large intestine or separated by at least 4
cm, detected either pre-, intraoperatively or after maximum 6 months since a surgery addressed to a
colon tumor. The incidence of synchronous tumors is approximately 3,5% of all cases of colorectal
carcinoma, while in others it reaches up to 8,4%. It is believed that this difference is mainly due to
false negative results. The present paper presents the case of a 75-year-old patient, with a history of
essential hypertension and type 2 insulin-requiring diabetes who came to the emergency room
accusing diffuse abdominal pain and bloating accompanied by the absence of intestinal transit for
fecal matter over the past 6 days and an episode of vomiting. The results of the investigations
correlated with the patient’s symptomatology indicate the diagnosis of bowel obstruction. The
exploratory laparotomy reveals an ulcero- vegetative, partially stenotic mass lesion in the sigmoid
colon with a diameter of about 5/6 cm. A second ulcero-vegetative, stenotic mass was identified at
the hepatic flexure of the colon with a diameter of approximately 8/7 cm. No metastatic lesions on
the liver or in the abdominal cavity were noted. Right hemicolectomy with end-to-end
ileotransverse-anastomosis and end-to-end colorectal anastomosis were performed. The present
paper aims to expose the particular aspects of the diagnosis and treatment of bowel obstruction by
synchronous tumors on a patient with abdominal symptomatology attenuated on the background of
neurological complications of diabetes.

Published
2018-12-19
How to Cite
[1]
F. Mușat, M. Coțofană, A. Bolocan, O. Andronic, and D. Păduraru, “PARTICULARITIES OF DIAGNOSIS AND TREATMENT IN A CASE OF SYNCHRONOUS COLORECTAL CANCER”, JSS, vol. 5, no. 3, pp. 170-175, Dec. 2018.
Section
Articles