Mechanicus ileust okozó, eltérő hisztológiai szerkezetű, metastatizáló, duplex colontumor operált esete egy fiatal, 34 éves nőbetegben

Autor:	Lajos Berczi, Zoltán Banai, Ádám Bartók
Rok vydání:	2014
Předmět:	medicine.medical_specialty business.industry Sigmoid colon General Medicine Anastomosis medicine.disease digestive system diseases Surgery Descending colon Abdominal wall medicine.anatomical_structure Emergency surgery Peritonectomy Female patient medicine Adenocarcinoma business
Zdroj:	Magyar Sebészet. 67:44-47
ISSN:	1789-4301 0025-0295
DOI:	10.1556/maseb.67.2014.2.2
Popis:	We would like to present the case of a young woman (age 34) who was admitted to our department due to unbearable colicky pain, which started one week prior to her hospitalization. Examinations revealed mechanical obstruction, which is very unusual in her age without surgical history. During emergency surgery, we found descending colon tumour which was invading the abdominal wall with pelvic carcinomatosis at the border of the sigmoid colon. Due to extreme colonic dilation and impending rupture of the colonic serosa, we performed a subtotal colectomy with ileosigmoid anastomosis. In addition, pelvic peritonectomy was carried out, too. The histopathological examination of the resected part demonstrated adenocarcinoma of the descending-sigmoid colon, as well as another - histologically different - tumour (a well-differentiated neuroendocrine carcinoma [NEC]), which would not have been discovered, because it was invisible and impalpable. However, this latter tumour was responsible for the peritoneal metastases.
Databáze:	OpenAIRE
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