Case Report: The importance of examining colon and rectum in patients with appendiceal cancer
| Autor: | Jacob Rosenberg, Kristoffer Andresen, Hugin Reistrup, Siv Fonnes |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
General Immunology and Microbiology medicine.diagnostic_test Colorectal cancer business.industry General surgery Cancer Rectum General Medicine Rectal examination Emergency department medicine.disease General Biochemistry Genetics and Molecular Biology Appendicitis 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine Appendix cancer 030211 gastroenterology & hepatology In patient General Pharmacology Toxicology and Pharmaceutics business |
| Zdroj: | Reistrup, H, Fonnes, S, Rosenberg, J & Andresen, K 2021, ' Case Report : The importance of examining colon and rectum in patients with appendiceal cancer ', F1000Research, vol. 10, 152 . https://doi.org/10.12688/f1000research.50909.1 |
| ISSN: | 2046-1402 |
| DOI: | 10.12688/f1000research.50909.1 |
| Popis: | Appendiceal cancer is rare and is often diagnosed incidentally in patients undergoing appendectomy for acute appendicitis. However, patients with appendiceal cancer are at increased risk of synchronous malignancy. In this case report, we present a 58-year-old man initially diagnosed with acute appendicitis after presenting to the emergency department with abdominal pain. He had an appendectomy and was discharged the following day. Unexpectedly, the postoperative histopathologic examination showed a primary adenocarcinoma in the appendix. A computed tomography scan showed rectal wall thickening and the patient was referred to colonoscopy where an experienced endoscopist found a rectal tumor during the digital rectal examination prior to the colonoscopy. The tumor was initially missed by the newly qualified doctor who examined the patient during his first admittance to hospital. The patient’s two primary cancers were treated with a laparoscopic right hemicolectomy for the appendiceal cancer and a low anterior resection for the rectal cancer. This case supports the importance of a full colorectal workup in patients with appendiceal cancer. It also emphasizes the value of a thorough digital rectal examination and the need for improved focus on teaching and practice of the procedure. |
| Databáze: | OpenAIRE |
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