Synchronous Onset of Two Complications in Colon Cancer: A Case Report
Journal
Journal of Medical Cases
Date Issued
2021-06-05
Author(s)
Nimetula Limani
Abstract
As one of the most frequent malignancies in the world’s population,
colorectal cancer is also associated with its complications (perforation,
obstruction and bleeding). Their incidence is common (2.6-50%), but
synchronous occurrence of two of them in a patient is a rare condition
and it is reported in small series or as a case report in the literature. We
present a case of the descending colon cancer in a female patient that
presented with perforation on tumor site with consecutive retroperitoneal
and lumbar abscess and simultaneous presentation of large bowel
obstruction. The patient was admitted and operated the same day, the
abscess was opened and drained and bowel resection was performed
with colostomy creation. The postoperative recovery was uneventful
and the patient was discharged on postoperative day 10. Due to the high
morbidity/mortality in cases of colon cancer emergencies, Hartman’s
procedure is often a reasonable option. Timely diagnosis of the colon
cancer can reduce the complication rate of the disease worldwide.
colorectal cancer is also associated with its complications (perforation,
obstruction and bleeding). Their incidence is common (2.6-50%), but
synchronous occurrence of two of them in a patient is a rare condition
and it is reported in small series or as a case report in the literature. We
present a case of the descending colon cancer in a female patient that
presented with perforation on tumor site with consecutive retroperitoneal
and lumbar abscess and simultaneous presentation of large bowel
obstruction. The patient was admitted and operated the same day, the
abscess was opened and drained and bowel resection was performed
with colostomy creation. The postoperative recovery was uneventful
and the patient was discharged on postoperative day 10. Due to the high
morbidity/mortality in cases of colon cancer emergencies, Hartman’s
procedure is often a reasonable option. Timely diagnosis of the colon
cancer can reduce the complication rate of the disease worldwide.
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