Misleading Presentation of Colorectal Cancer in an Otherwise Healthy Patient

Autor: Haitham Albadree, Mustafa Al-jarshawi, Ahmed Al-Imam, Hasan Bahar
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: مجلة كلية الطب, Vol 62, Iss 4 (2021)
ISSN: 2410-8057
0041-9419
Popis: Background Worldwide, colorectal carcinoma (CRC) is the second most common malignancy and the fourth most common cause of cancer deaths after lung, stomach and liver cancers. In the United Kingdom, 52,331 new cases of CRC were diagnosed in 2017 with an incidence rate of 41.7/105 population. Early symptoms of CRC could be painless, bright red bleeding per rectum, tenesmus, and a change in bowel habit. Sometimes, these symptoms or others as peri-anal pain are often attributed to benign lesions like an anal fissure in young age groups which was the scenario in this case report of a patient presented to Baghdad teaching hospital, Iraq in January 2020. Case Report This case report aims to highlight how congruent signs and symptoms of benign-looking anal fissure can delay the diagnosis of rectal cancer in a young patient. A healthy 44 years old male, with a negative family history of colorectal neoplasms, suffered from a long-standing peri-anal pain and overlooked infrequent bowel motions accompanied by misleading anal fissure at 6 o'clock position. However, later on, further clinical assessment by endoscopy, a colorectal adenocarcinoma turned to be the cause. Conclusion Anal fissure could be a secondary complication to colorectal cancer even in young age groups (less than 45), and can induce a troublesome peri-anal pain. Therefore, it is essential to consider anal fissure and colorectal cancer together on clinical assessment as they can coexist. Besides, a follow-up visit after a diagnosis of an anal fissure is paramount to exclude any underlying life-threatening aetiology at secondary care.
Databáze: OpenAIRE