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Synchronous Colon Cancer Presenting as a Different Concomitant Surgical Emergency; Case Report and Literature Review

  • Case Report
  • Published:
Hellenic Journal of Surgery

Abstract

Colorectal cancer (CRC) is the third most common tumour type worldwide with approximately 1.8 million new cases diagnosed per year. Despite the high incidence of newly diagnosed cases, the majority (70%–80%) of these tumours are resectable. These tumours can present either as an incidental finding during screening colonoscopy or with anaemia symptoms such as general weakness and fatigue (for right sided-tumours) or changes in bowel habits (for left-sided tumours). In advanced cases, loss of weight and loss of appetite are also common presenting symptoms. Less common, yet emergent presentations include large bowel obstruction, severe gastrointestinal haemorrhage and free intra-abdominal perforation.

Synchronous CRC (SCRC) cancers, defined as two or more primary tumours existing independently of one another, have an incidence rate of 2.3%–12.4% of overall CRC with male predominance. Presentation of these tumours is usually identical to presentation of solitary CRC. Emergency surgical presentation, with two different surgical indications for operation is very rare. Herein, we present a case of a 71-year-old male patient, who presented with colonic perforation, as well as colo-colic intussusception due to SCRC tumour. Subtotal colectomy, along with end-ileostomy was done. Histopathological report revealed synchronous colonic mucinous cancer and well differentiated colonic adenocarcinoma.

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Authors and Affiliations

  1. Department of General Surgery, Rambam Health Care Campus, Haa’leya Hashneya 2, Haifa, Israel, 31096

    Roi Abramov, Subhi Mansour, Kenan Hallon, Bishara Bishara & Safi Khuri

  2. Advanced laparoscopy Unit, Rambam Health Care Campus, Haifa, Israel

    Bishara Bishara

  3. HPB and Surgical Oncology Unit, Rambam Health Care Campus, Haifa, Israel

    Safi Khuri

Authors
  1. Roi Abramov
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  2. Subhi Mansour
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  3. Kenan Hallon
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  4. Bishara Bishara
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  5. Safi Khuri
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Contributions

Roi Abramov contributed to the writing of the manuscript as well as for the design. Subhi Mansour and Kenan Hallon contributed to literature research and editing of the manuscript. Bishara Bishara contributed to critical review of the manuscript. Safi Khuri was the mentor and contributed to critical revision of the manuscript.

Corresponding author

Correspondence to Safi Khuri.

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The authors declare that the study has been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. Also all patients gave their written informed consent prior to their inclusion to the study.

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Conflict of Interest

The authors declare that there is no conflict of interest.

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Abramov, R., Mansour, S., Hallon, K. et al. Synchronous Colon Cancer Presenting as a Different Concomitant Surgical Emergency; Case Report and Literature Review. Hellenic J Surg 92, 182–185 (2020). https://doi.org/10.1007/s13126-020-0572-5

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  • DOI: https://doi.org/10.1007/s13126-020-0572-5

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