Annals of Coloproctology

Case Reports

Malignant disease,Colorectal cancer

Synchronous Quadruple Colon Cancer With Two Lesions Previously Obscured by Ischemic Colitis, Plus Bladder Cancer and Thymoma: A Case Report: Byung-Soo Park, Sung Hwan Cho, Su Jin Kim, Tae Un Kim, Dong Il Kim, Gyung Mo Son, Hyun Sung Kim; Ann Coloproctol. 2021;37(Suppl 1):S44-S47. Published online September 18, 2020; DOI: https://doi.org/10.3393/ac.2020.06.18

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Synchronous quadruple colorectal cancer (CRC) is extremely rare without genetic alterations. We present a case of synchronous quadruple CRC with 2 lesions previously obscured by ischemic colitis. A 73-year-old woman was admitted to our emergency department. An abdominal computed tomography revealed ischemic colitis and irregular wall thickening of the sigmoid colon and sigmoid-descending junction, suspicious of 2 colon cancers. A colonoscopy examination revealed a fungating mass 20 cm from the anal verge, as well as ischemic colitis spanning the mucosa from the sigmoid colon to the transverse colon. The patient underwent laparoscopic Hartmann procedure. Pathologic examination confirmed both lesions as adenocarcinomas with microsatellite stable. Seven months postoperatively, instead of a laparoscopic Hartmann reversal, a laparoscopic total colectomy was performed due to the continued presence of severe ischemic colitis. The pathologic report suggested the presence of 2 distinct invasive adenocarcinomas in the descending colon without genetic alterations such as microsatellite instability.

Citations

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Laparoscopic surgery for synchronous double colorectal cancer with obstruction, plus small B cell lymphoma: a case report
Shunhua Tian, Feng Wu, Fan Yang, Guilin Min, Hongliu Chen
Journal of Surgical Case Reports.2024;[Epub] CrossRef
Could cytology supplant frozen section for intraoperative evaluation of thoracic lesions? A single institutional experience in a developing country
Zuhal Kuş Silav, Cansu Sönmez, Bülent Aydemir, Mehmet Yıldırım, Tamer Okay, Fügen Vardar Aker
Diagnostic Cytopathology.2023; 51(2): 123. CrossRef
Three colonic cancers, two sites of complete occlusion, one patient: A case report
Eric Bergeron, Thibaut Maniere, Xuan Vien Do, Michael Bensoussan, Eric De Broux
World Journal of Gastrointestinal Surgery.2021; 13(9): 1095. CrossRef

Adult Intussusception due to Cecal Lymphangioma: A Case Report: Dong Il Kim, Hyung Il Seo, Jae Hun Kim, Hyun Sung Kim, Hong Jae Jo; J Korean Soc Coloproctol. 2011;27(2):99-101. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.99

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We present a rare case of adult intussusception due to cecal lymphangioma. A 30-year-old female was admitted to our hospital with abdominal pain and a palpatable mass on the right lower quadrant. Preoperative radiologic studies by ultrasound and computed tomography showed ileocolic intussusception with a multiseptated cystic tumor as a leading point on the cecum. An ileocecectomy was performed, and the postoperative course was uneventful. Histopathology showed a cecal lymphangioma. Although endoscopic polypectomy or endoscopic mucosal resection is recommended for pedunculated or semi-pedunculated colonic lymphangiomas less than 2 cm in size, it is proper to treat large or symptomatic colonic lymphangiomas with limited a bowel resection or a tumor resection.

Citations

Citations to this article as recorded by

An Incidental Finding of a Cecal Lymphangioma Managed Conservatively
Richard Mitchell, Jonathan Reyes, Vennis Lourdusamy, Raghav Bansal
Cureus.2024;[Epub] CrossRef
A Case of Colonic Intussusception Caused by Cecal Lymphangioma and Requiring Emergency Surgery
Mitsutoshi Okuda, Takahiro Yoshioka, Ryosuke Tsunemitsu, Hiroaki Inoeu, Ryo Inada
Cureus.2024;[Epub] CrossRef
Cystic Lymphangioma of Rectum-A Case Report and Review of Literature
Govindraj S Dessai, Nikhil Kumar Soni, Sharvari Pujari, Ramkrishna Prabhu, Chetan V Kantharia
The Korean Journal of Gastroenterology.2023; 82(2): 91. CrossRef
Cystic lymphangioma causing intussusception of the right colon: a case report and review of current literature
Jae Hyun Park, Jesung Park, Ga Yoon Ku, Do Kyoon Moon, Jong Sung Ahn, Hyo Jun Kim, Min Jung Kim, Ji Won Park, Seung-Bum Ryoo, Seung-Yong Jeong, Kyu Joo Park
Journal of Surgical Case Reports.2023;[Epub] CrossRef
Imaging features, complications and differential diagnoses of abdominal cystic lymphangiomas
M. Raufaste Tistet, O. Ernst, M. Lanchou, M. Vermersch, P. Lebert
Abdominal Radiology.2020; 45(11): 3589. CrossRef
Colonic lymphangioma presenting with intermittent pain and intussusception
Mark M G Ly, Marie Shella De Robles, Catriona Mckenzie, Christopher J Young
Journal of Surgical Case Reports.2019;[Epub] CrossRef
A Case of Adult Intussusception Secondary to Lymphangioma of the Cecum
Seong Wook Hwang
Soonchunhyang Medical Science.2019; 25(2): 139. CrossRef

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