Case Report
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Synchronous Bilateral Flexure Tumor Causing Ileus and Requiring Surgical Treatment

Year 2022, Volume: 24 Issue: 3, 333 - 336, 30.12.2022

Tolga Kalaycı Murat Kartal Mesud Fakirullahoğlu Yasemin Özerdem

https://doi.org/10.18678/dtfd.1144552

Abstract

This case report presented a simultaneous right colon tumor detected perioperatively in a patient who developed ileus due to a metastatic left colon tumor in the preoperative period. A seventy-six-year-old man was admitted with epigastric pain, nausea, and vomiting. There was tenderness and defense on deep palpation on the epigastrium. On computed tomography, there were multiple hypodense lesions on the liver, a mass at the level of the splenic flexure that obliterates the lumen. In addition, there were numerous air-fluid levels due to tumoral mass on splenic flexure. Emergency surgery was performed, and during surgery, there were tumoral masses at the hepatic flexure and splenic flexure. Palliative total abdominal colectomy with end ileostomy was performed due to megacolon. The patient died due to sudden cardiac arrest on the 1st postoperative day.

Keywords

Colorectal cancer intestinal obstruction synchronous neoplasms

References

  • Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer statistics, 2022. CA Cancer J Clin. 2022;72(1):7-33.
  • Gervaz P, Bucher P, Morel P. Two colons‐two cancers: paradigm shift and clinical implications. J Surg Oncol. 2004;88(4):261-6.
  • Greystoke A, Mullamitha SA. How many diseases are colorectal cancer? Gastroenterol Res Pract. 2012;2012:564741.
  • Kato T, Alonso S, Muto Y, Noda H, Miyakura Y, Suzuki K, et al. Clinical characteristics of synchronous colorectal cancers in Japan. World J Surg Oncol. 2016;14(1):272.
  • Cunliffe WJ, Hasleton PS, Tweedle DE, Schofield PF. Incidence of synchronous and metachronous colorectal carcinoma. Br J Surg. 1984;71(12):941-3.
  • van Leersum NJ, Aalbers AG, Snijders HS, Henneman D, Wouters MW, Tollenaar RA, et al. Synchronous colorectal carcinoma: a risk factor in colorectal cancer surgery. Dis Colon Rectum. 2014;57(4):460-6.
  • Bostancı MT, Yılmaz İ, Ahmet S, Saydam M, Koşmaz K, Kaya İO. Synchronous colorectal cancers: single center experience. Ankara Eğt Arş Hast Derg. 2020;53(3):183-7. Turkish.
  • Lam AKY, Chan SS, Leung M. Synchronous colorectal cancer: clinical, pathological and molecular implications. World J Gastroenterol. 2014;20(22):6815-20.
  • Pajares JA, Perea J. Multiple primary colorectal cancer: Individual or familial predisposition? World J Gastrointest Oncol. 2015;7(12):434-44.
  • Nosho K, Kure S, Irahara N, Shima K, Baba Y, Spiegelman D, et al. A prospective cohort study shows unique epigenetic, genetic, and prognostic features of synchronous colorectal cancers. Gastroenterology. 2009;137(5):1609-20.e1-3.
  • Lotfollahzadeh S, Recio-Boiles A, Cagir B. Colon cancer. [Updated 2022, Sep 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.
  • Wielandt AM, Hurtado C, Moreno M, Zarate A, López-Köstner F. Fecal occult blood test for colorectal cancer screening. Rev Med Chil. 2021;149(4):580-90. Spanish.
  • Kijima S, Sasaki T, Nagata K, Utano K, Lefor AT, Sugimoto H. Preoperative evaluation of colorectal cancer using CT colonography, MRI, and PET/CT. World J Gastroenterol. 2014;20(45):16964-75.
  • Thiels CA, Naik ND, Bergquist JR, Spindler BA, Habermann EB, Kelley SR, et al. Survival following synchronous colon cancer resection. J Surg Oncol. 2016;114(1):80-5.
  • Chen HS, Sheen-Chen SM. Synchronous and "early" metachronous colorectal adenocarcinoma: analysis of prognosis and current trends. Dis Colon Rectum. 2000;43(8):1093-9.
  • Passman MA, Pommier RF, Vetto JT. Synchronous colon primaries have the same prognosis as solitary colon cancers. Dis Colon Rectum. 1996;39(3):329-34.
  • Wang HZ, Huang XF, Wang Y, Ji JF, Gu J. Clinical features, diagnosis, treatment and prognosis of multiple primary colorectal carcinoma. World J Gastroenterol. 2004;10(14):2136-9.
  • Lee BC, Yu CS, Kim J, Lee JL, Kim CW, Yoon YS, et al. Clinicopathological features and surgical options for synchronous colorectal cancer. Medicine (Baltimore). 2017;96(9):e6224.
  • Akça T, Dağ A, Çolak T, Çağlıkülekçi M, Dirlik M, Şahan E. Synchronous tumours of colon and rectum. Kolon Rektum Hast Derg. 2010;20(4):166-71.

İleusa Neden Olan ve Cerrahi Tedavi Gerektiren Senkron Bilateral Köşe Tümörü

Year 2022, Volume: 24 Issue: 3, 333 - 336, 30.12.2022

Tolga Kalaycı Murat Kartal Mesud Fakirullahoğlu Yasemin Özerdem

https://doi.org/10.18678/dtfd.1144552

Abstract

Bu olgu sunumunda, preoperatif dönemde metastatik sol kolon tümörü nedeniyle ileus gelişen bir hastada perioperatif dönemde saptanan eş zamanlı sağ kolon tümörü sunulmaktadır. Yetmiş altı yaşında erkek hasta epigastrik ağrı, bulantı ve kusma şikayetleriyle başvurdu. Derin palpasyonda epigastriumda hassasiyet ve defans mevcuttu. Bilgisayarlı tomografide karaciğerde çoklu hipodens lezyonlar, splenik fleksura seviyesinde lümeni oblitere eden bir kitle vardı. Ayrıca splenik fleksuradaki tümöral kitleye bağlı olarak çok sayıda hava-sıvı seviyesi mevcuttu. Acil cerrahi uygulandı ve ameliyat sırasında hepatik fleksura ve splenik fleksurada tümöral kitleler görüldü. Megakolon nedeniyle palyatif total abdominal kolektomi ile uç ileostomi yapıldı. Hasta ameliyat sonrası 1. günde ani kalp durması nedeniyle kaybedildi.

Keywords

Kolorektal kanser bağırsak tıkanıklığı senkron neoplazmlar

References

  • Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer statistics, 2022. CA Cancer J Clin. 2022;72(1):7-33.
  • Gervaz P, Bucher P, Morel P. Two colons‐two cancers: paradigm shift and clinical implications. J Surg Oncol. 2004;88(4):261-6.
  • Greystoke A, Mullamitha SA. How many diseases are colorectal cancer? Gastroenterol Res Pract. 2012;2012:564741.
  • Kato T, Alonso S, Muto Y, Noda H, Miyakura Y, Suzuki K, et al. Clinical characteristics of synchronous colorectal cancers in Japan. World J Surg Oncol. 2016;14(1):272.
  • Cunliffe WJ, Hasleton PS, Tweedle DE, Schofield PF. Incidence of synchronous and metachronous colorectal carcinoma. Br J Surg. 1984;71(12):941-3.
  • van Leersum NJ, Aalbers AG, Snijders HS, Henneman D, Wouters MW, Tollenaar RA, et al. Synchronous colorectal carcinoma: a risk factor in colorectal cancer surgery. Dis Colon Rectum. 2014;57(4):460-6.
  • Bostancı MT, Yılmaz İ, Ahmet S, Saydam M, Koşmaz K, Kaya İO. Synchronous colorectal cancers: single center experience. Ankara Eğt Arş Hast Derg. 2020;53(3):183-7. Turkish.
  • Lam AKY, Chan SS, Leung M. Synchronous colorectal cancer: clinical, pathological and molecular implications. World J Gastroenterol. 2014;20(22):6815-20.
  • Pajares JA, Perea J. Multiple primary colorectal cancer: Individual or familial predisposition? World J Gastrointest Oncol. 2015;7(12):434-44.
  • Nosho K, Kure S, Irahara N, Shima K, Baba Y, Spiegelman D, et al. A prospective cohort study shows unique epigenetic, genetic, and prognostic features of synchronous colorectal cancers. Gastroenterology. 2009;137(5):1609-20.e1-3.
  • Lotfollahzadeh S, Recio-Boiles A, Cagir B. Colon cancer. [Updated 2022, Sep 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.
  • Wielandt AM, Hurtado C, Moreno M, Zarate A, López-Köstner F. Fecal occult blood test for colorectal cancer screening. Rev Med Chil. 2021;149(4):580-90. Spanish.
  • Kijima S, Sasaki T, Nagata K, Utano K, Lefor AT, Sugimoto H. Preoperative evaluation of colorectal cancer using CT colonography, MRI, and PET/CT. World J Gastroenterol. 2014;20(45):16964-75.
  • Thiels CA, Naik ND, Bergquist JR, Spindler BA, Habermann EB, Kelley SR, et al. Survival following synchronous colon cancer resection. J Surg Oncol. 2016;114(1):80-5.
  • Chen HS, Sheen-Chen SM. Synchronous and "early" metachronous colorectal adenocarcinoma: analysis of prognosis and current trends. Dis Colon Rectum. 2000;43(8):1093-9.
  • Passman MA, Pommier RF, Vetto JT. Synchronous colon primaries have the same prognosis as solitary colon cancers. Dis Colon Rectum. 1996;39(3):329-34.
  • Wang HZ, Huang XF, Wang Y, Ji JF, Gu J. Clinical features, diagnosis, treatment and prognosis of multiple primary colorectal carcinoma. World J Gastroenterol. 2004;10(14):2136-9.
  • Lee BC, Yu CS, Kim J, Lee JL, Kim CW, Yoon YS, et al. Clinicopathological features and surgical options for synchronous colorectal cancer. Medicine (Baltimore). 2017;96(9):e6224.
  • Akça T, Dağ A, Çolak T, Çağlıkülekçi M, Dirlik M, Şahan E. Synchronous tumours of colon and rectum. Kolon Rektum Hast Derg. 2010;20(4):166-71.
There are 19 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Tolga Kalaycı 0000-0002-6977-1757

Murat Kartal 0000-0003-1396-5365

Mesud Fakirullahoğlu 0000-0002-5871-5688

Yasemin Özerdem 0000-0001-5826-5413

Publication Date December 30, 2022
Submission Date July 17, 2022
Published in Issue Year 2022 Volume: 24 Issue: 3

Cite

APA Kalaycı, T., Kartal, M., Fakirullahoğlu, M., Özerdem, Y. (2022). Synchronous Bilateral Flexure Tumor Causing Ileus and Requiring Surgical Treatment. Duzce Medical Journal, 24(3), 333-336. https://doi.org/10.18678/dtfd.1144552
AMA Kalaycı T, Kartal M, Fakirullahoğlu M, Özerdem Y. Synchronous Bilateral Flexure Tumor Causing Ileus and Requiring Surgical Treatment. Duzce Med J. December 2022;24(3):333-336. doi:10.18678/dtfd.1144552
Chicago Kalaycı, Tolga, Murat Kartal, Mesud Fakirullahoğlu, and Yasemin Özerdem. “Synchronous Bilateral Flexure Tumor Causing Ileus and Requiring Surgical Treatment”. Duzce Medical Journal 24, no. 3 (December 2022): 333-36. https://doi.org/10.18678/dtfd.1144552.
EndNote Kalaycı T, Kartal M, Fakirullahoğlu M, Özerdem Y (December 1, 2022) Synchronous Bilateral Flexure Tumor Causing Ileus and Requiring Surgical Treatment. Duzce Medical Journal 24 3 333–336.
IEEE T. Kalaycı, M. Kartal, M. Fakirullahoğlu, and Y. Özerdem, “Synchronous Bilateral Flexure Tumor Causing Ileus and Requiring Surgical Treatment”, Duzce Med J, vol. 24, no. 3, pp. 333–336, 2022, doi: 10.18678/dtfd.1144552.
ISNAD Kalaycı, Tolga et al. “Synchronous Bilateral Flexure Tumor Causing Ileus and Requiring Surgical Treatment”. Duzce Medical Journal 24/3 (December 2022), 333-336. https://doi.org/10.18678/dtfd.1144552.
JAMA Kalaycı T, Kartal M, Fakirullahoğlu M, Özerdem Y. Synchronous Bilateral Flexure Tumor Causing Ileus and Requiring Surgical Treatment. Duzce Med J. 2022;24:333–336.
MLA Kalaycı, Tolga et al. “Synchronous Bilateral Flexure Tumor Causing Ileus and Requiring Surgical Treatment”. Duzce Medical Journal, vol. 24, no. 3, 2022, pp. 333-6, doi:10.18678/dtfd.1144552.
Vancouver Kalaycı T, Kartal M, Fakirullahoğlu M, Özerdem Y. Synchronous Bilateral Flexure Tumor Causing Ileus and Requiring Surgical Treatment. Duzce Med J. 2022;24(3):333-6.
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