Abstract
A case is reported of adenocarcinoma of the ileum following surgical management of ulcerative colitis. In this patient it seems likely that the carcinoma arose in a pre-existing tubulovillous adenoma of rectal origin. This case report draws attention to the need to exclude any possibility of retention of large-intestinal mucosa in the ileostomy when transecting the ileum, either at primary colectomy or when dismantling an ileorectal anastomosis.
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References
Daly DW, Brooke BN. Ileostomy and excision of the large intestine for ulcerative colitis. Lancet 1967;2:62–4.
Moertel CG, Hill JR, Adson MA. Management of multiple polyposis of the large bowel. Cancer 1971;28:160–4.
Bussey HJ. Polyposis syndromes. In: Morson BC, ed. The pathogenesis of colorectal cancer. Philadelphia. WB Saunders, 1978;31–94.
Watts JM, Hughest ES. Ulcerative colitis and Crohn's disease: results after colectomy and ileorectal anastomosis. Br J Surg 1977;64:77–83.
Cuesta MA, Donner R. Adenocarcinoma arising at an ileostomy site: report of a case. Cancer 1976;37:949–52.
Sigler L, Jedd FL. Adenocarcinoma of the ileostomy occurring after colectomy for ulcerative colitis: report of a case. Dis Colon Rectum 1969;12:45–8.
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Johnson, W.R., McDermott, F.T., Pihl, E. et al. Adenocarcinoma of an ileostomy in a patient with ulcerative colitis. Dis Colon Rectum 23, 351–352 (1980). https://doi.org/10.1007/BF02586844
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DOI: https://doi.org/10.1007/BF02586844