Synchronous Onset of Two Complications in Colon Cancer: A Case Report

Andrej Nikolovski, Nimetula Limani, Ana Lazarova, Shenol Tahir

Abstract


As one of the most frequent malignancies in the world’s population, colorectal cancer is also associated with its complications (perforation, obstruction and bleeding). Their incidence is common (2.6-50%), but synchronous occurrence of two of them in a patient is a rare condition and it is reported in small series or as a case report in the literature. We present a case of the descending colon cancer in a female patient that presented with perforation on tumor site with consecutive retroperitoneal and lumbar abscess and simultaneous presentation of large bowel obstruction. The patient was admitted and operated the same day, the abscess was opened and drained and bowel resection was performed with colostomy creation. The postoperative recovery was uneventful and the patient was discharged on postoperative day 10. Due to the high morbidity/mortality in cases of colon cancer emergencies, Hartman’s procedure is often a reasonable option. Timely diagnosis of the colon cancer can reduce the complication rate of the disease worldwide.




J Med Cases. 2021;12(6):248-250
doi: https://doi.org/10.14740/jmc3684

Keywords


Colon cancer complications; Obstruction; Perforation

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