Malignant perforation of sigmoid colon in long-standing ulcerative colitis
| Autor: | G K Adithya, Varun Madaan, Rigved Gupta, Satya Prakash Jindal, Deepak Govil |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Apollo Medicine, Vol 17, Iss 1, Pp 46-49 (2020) |
| Druh dokumentu: | article |
| ISSN: | 0976-0016 2213-3682 |
| DOI: | 10.4103/am.am_31_19 |
| Popis: | Chronic ulcerative colitis (UC) is a risk factor for malignancy in long-term disease process. Obstruction, perforation, and hemorrhage are the possible emergency situations in colorectal malignancy. A 68-year-old male with chronic UC for 18 years with steroid-dependent disease (on 10 mg prednisolone daily) presented with acute pain abdomen with distention not passing stool or flatus for 2 days. The patient was diagnosed to have perforation of colon secondary to rectosigmoid malignancy. Following the adjuvant therapy, the patient denied any definitive surgery and opted to stay on a colorectal cancer surveillance program. At present, the patient's positron emission tomography/computed tomography shows pelvic, liver surface, and small bowel deposits, suggestive of recurrence or metastasis. This case report is discussed to emphasize the importance of aggressive surgical treatment in long-term steroid-dependent disease and poor prognosis of perforated malignancy irrespective of pathological staging. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|