Degenerative Ulcerative Colitis After One Year of Evolution in a 20-Year-Old Patient
| Autor: | Rachid Jabi, Mouad Ouryemchi, Mohammed Bouziane, Haitam Soussan, Younesse Najioui |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Colorectal cancer medicine.medical_treatment degeneration colorectal cancer Disease Inflammatory bowel disease coloprectectomy Internal medicine Laparotomy medicine endoscopy Pathological ulcerative colitis medicine.diagnostic_test business.industry General Engineering Gastroenterology medicine.disease Ulcerative colitis digestive system diseases Endoscopy Oncology General Surgery Adenocarcinoma business |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Ulcerative colitis (UC) is an inflammatory bowel disease. Patients with this condition are considered to belong to a high-risk group for developing colorectal cancer (CRC). These are patients who are often not subjected to regular endoscopic monitoring and in whom the diagnosis of CRC degeneration is often a pathological discovery. The purpose of this work is to report the characteristics of a case of degenerate UC. This is a case of a 20-year-old patient, followed for UC, who was diagnosed with CRC during a flare-up of his disease, revealed by endoscopic exploration. This patient underwent a coloproctectomy with ileoanal J-pouch reconstruction by laparotomy. The operative specimen came back in favor of a moderately differentiated Lieberkunian adenocarcinoma after an anatomopathological study. The risk of developing CRC in patients followed for UC is rare at a young age, but it becomes higher after 10 years of evolution. This risk is incriminated by several factors: duration of evolution, the extent and severity of inflammatory lesions and the notion of CRC in the family. The discovery is often made by endoscopic exploration during disease surveillance. |
| Databáze: | OpenAIRE |
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