How Can We Diagnose Pre-malignant Solitary Cecal Ulcer?
Journal Title: Türk Kolon ve Rektum Hastalıkları Dergisi - Year 2018, Vol 28, Issue 1
Abstract
A 75-year-old woman presented with a 1-month history of right lower quadrant pain and constipation. Physical examination revealed tenderness to palpation. The patient had no history of inflammatory bowel disease. The colonoscopy displayed marked partial obstruction of the cecum with a large ulcerated area and surrounding friable epithelium in the medial cecal region. Microscopic evaluation of the biopsy specimens revealed an acute ulcer with granulation tissue and overlying fibrinopurulent debris. There was no evidence of granulomatous inflammation or crypt abscesses suggesting inflammatory bowel diseases, except the atypical epithelial cells. Additionally, abdominopelvic tomography showed a suspicious cecal tumor underlying a thickened bowel wall and mesocolic lymph adenopathy. Subsequently, we performed right hemicolectomy due to clinical obstruction. No complications were observed during postoperative follow-up. The pathology result confirmed cecal ulcer with low-grade dysplasia.
Authors and Affiliations
Bahar Büşra Özkan, Kadri Güleşçi, Nazan Aksoy, Yüksel Altınel
Keywords
Related Articles
- EP ID EP274175
- DOI 10.4274/tjcd.96658
- Views 98
- Downloads 0
Closure of Fistula Tract with FiLaC™ Laser as a Sphincter-Preserving Method in Anal Fistula Treatment
Aim: Anal fistula is a difficult anorectal disease. Anal incontinence and fistula relapse after anal fistula surgery are morbidities feared by surgeons. Many techniques for sphincter preservation such as ligation of the...
Midgut Nonrotation in an Adult Patient and Ladd’s Procedure
Midgut malrotation is a congenital anomaly that usually occurs during infancy. The most common type is the “classic” form, which is defined as complete failure of rotation of both proximal (duodenojejunal limb) and dista...
Aesculus Hippocastanum (Aescin, Horse Chestnut) in the Management of Hemorrhoidal Disease: Review
Medical treatment is very important in the relief of symptoms and pain related to hemorrhoidal disease, even in advanced cases with absolute surgical indication. Medical remedies containing components such as flavonoids,...
A Different View of Stoma: Living with a Person with Stoma
Stomas cause various physical, psychological and social problems among individuals and their family members both when they are created and in the post-hospital period. In the present study, an in-depth interview was cond...
Laparoscopic Resection of Primary Tumor with Synchronous Conventional Resection of Liver Metastases in Patients with Stage 4 Colorectal Cancer: A Retrospective Analysis
Aim: Aim of this study is to analyze the short and long term results of laparoscopic colorectal cancer resection with synchronous conventional resection of liver metastasis. Method: All cases operated on synchronous colo...