An Unusual Cause of Upper Gastrointestinal Bleeding in Clinical Practice; A Case Report of Locally Invasive Colon Cancer with Superimposed Actinomycosis
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 20, Issue 12
Abstract
Background: Colon cancer commonly presents with lower gastrointestinal bleeding in symptomatic patients. Upper gastrointestinal bleeding as a symptom of colon cancer is unusual. This case highlights the diagnostic and management challenges of colon cancer masquerading as gastric ulcer with a bleeding complication. Case Presentation: We report the case of a 45-year-old man who presented with passage of melaena stools with associated epigastric pain. Endoscopy revealed gastric ulcer in the greater curvature. Histopathology identified a diffuse adenocarcinoma with superimposed actinomycosis. Intra-operatively the patient was found to have a carcinoma of the transverse colon diffusely infiltrating and ulcerating the stomach in its greater curvature. Patient died from bilateral pulmonary thromboembolism 10 weeks after the surgery. Conclusion: Although rare, colon cancer can present with upper gastrointestinal bleeding. It must be considered as a differential in the work up for a patient passing melaena stool.
Authors and Affiliations
Y. A. Awuku, J. I. Lovi, M. Nortey, T. M. Morna, P. K. Akakpo
Keywords
Related Articles
- EP ID EP311498
- DOI 10.9734/BJMMR/2017/32202
- Views 88
- Downloads 0
Detection of Hepatitis E Virus RNA in Chicken Droppings and Pig Feces in Ogun and Lagos States, South Western, Nigeria
Background/Aim: Hepatitis E virus (HEV) is a major cause of sporadic and epidemic cases of enteric non-A non-B hepatitis in humans. It estimated that 14 million symptomatic cases of HEV infection, with 300,000 deaths and...
Hypoxia Inducible Factor 1α as a Diagnostic and Predictor Test of Liver Fibrosis
Introduction: Regulation of the the metabolic activities of the liver is done by oxygen, which is considered as a critical signaling molecule in that issue. Oxygen delivery dysregulation provoke hepatic steatosis and inf...
Technological Tools for Observational Evaluation - the Experience with the Software for Functional Evaluation Scale for Duchenne Muscular Dystrophy – A Pilot Study Software for Observational Evaluation
Systematic observation is an indispensable tool in clinical neurology evaluation, but data organization and record are extensive and time-consuming, requiring method and training. Reliable scales facilitate this task and...
Therapeutic Effect of Hydatid Cyst Liquid on Melanoma Tumor Growth in Mouse Model
Introduction: Hydatid cyst is the larval stage of Echinococcus granulosus which develops in various human and livestock animals tissues. This hydatid cyst composed of several layers. Previous investigations have shown th...
Contraceptive Practice of Clients Attending the Family Planning Clinic of the Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria
Aim: To examine the socio-demographic characteristics, main source of information about family planning and contraceptive choices of women attending the family planning clinic of a tertiary hospital in Southwest Nigeria....