A rare case of a mid sigmoid tumour presenting as an intussuscepting low rectal tumour causing clinical dilemma in a 22-year-old: a case report.

Autor: Al-Jabri T; Department of Surgery, Queen Mary's Hospital Sidcup, Kent DA146LT UK. talaljabri@doctors.org.uk, Van Roon Y, Kulkarni D, Davies T
Jazyk: angličtina
Zdroj: Cases journal [Cases J] 2009 Aug 26; Vol. 2, pp. 8535. Date of Electronic Publication: 2009 Aug 26.
DOI: 10.4076/1757-1626-2-8535
Abstrakt: A 22-year-old man presented to clinic with a 1 year history of bloody diarrhoea and weight loss. Flexible sigmoidoscopy showed the presence of a low polypoidal rectal carcinoma. Whilst awaiting neoadjuvant chemo-radiotherapy, the patient presented to accident and emergency with an anal protrusion of the tumour. An emergency laparotomy unexpectedly revealed a mid sigmoid tumour which had intussuscepted through the anus and therefore required an anterior resection as opposed to an abdomino-perineal resection. Colorectal carcinoma presents in a specifically unique pattern in patients less than 30 years. We present this rare case with a brief review of the literature.
Databáze: MEDLINE
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