Annals of Coloproctology

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Case Report

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

Citations to this article as recorded by

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
Ischemic colitis stricture hiding a colonic neoplasia: a peculiar case report
I. V. Albergati, C. Simeth, F. Monica
Endoscopy.2024; 56(S 02): S309. CrossRef
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Zuhal Kuş Silav, Cansu Sönmez, Bülent Aydemir, Mehmet Yıldırım, Tamer Okay, Fügen Vardar Aker
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Three colonic cancers, two sites of complete occlusion, one patient: A case report
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Original Article

Ischemic Colitis.: Lim, Seok Won , Park, Weon Kap , Lee, Kwang Real , Yoo, Jung Jun , Kim, Hyun Shig , Lee, Jong Kyun; J Korean Soc Coloproctol. 1998;14(1):115-123.

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Abstract PDF: Ischemic colitis is an uncommon disease in Korea, but nowadays, the incidence of this disease is increasing in Korea. The reason is that the number of old patients is increasing and colonoscopic diagnosis is performed more frequently. It is especially important to differentiate it from other inflammatory bowel disease, such as infectious colitis, ulcerative colitis, Crohn's disease, and drug-induced colitis, because ischemic colitis is similar to other inflammatory bowel disease in symptoms and colonoscopic findings. However, the authors were able to differentiate ischemic colitis from other inflammatory bowel disease by close examination of a patient's history, microscopic examination and culture studies of the bacteria in the stool, and close observation of the changes in the colonoscopic findings with time. We experienced six cases of ischemic colitis and report them along with a brief review of the literature.

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