Pseudotumor de colon sigmoide / Sigmoid colon pseudotumor

Numerosas enfermedades clínicas pueden afectar la estructura o el funcionamiento normal del colon, cada vez son más frecuentes las tumoraciones, los procesos inflamatorios e infecciosos y los trastornos fisiológicos o mecánicos de ese órgano. Se presenta el caso de un paciente masculino, blanco, de 45 años de edad que 10 meses antes comenzó con dolor cólico en hemiabdomen superior izquierdo. Este dolor se desplazó gradualmente al flanco y fosa ilíaca de ese lado, moderadamente intenso, intermitente, sin relación prandial, acompañado de aerocolia, constipación que alternaba con heces blandas con flemas y pérdida de peso de aproximadamente 8 libras. En ese tiempo su salud empeoró gradualmente, por lo cual solicita atención médica. Se realizaron procederes endoscópicos y estudios imagenológicos, se detectó carcinoma de sigmoides. Se realiza laparotomía exploradora con escisión del órgano y se comprueba una formación granulomatosa que a su apertura se aprecia un cuerpo extraño con tejido fibroso y angiogénesis. A todo paciente que solicite atención médica por manifestaciones digestivas bajas de tiempo prolongado de evolución y que se le constate al examen físico una masa inflamatoria o tumoral en el colon, más aún en su parte izquierda, o que presente manifestaciones obstructivas, es imprescindible realizarle una minuciosa anamnesis que incluya la posible ingestión de un cuerpo extraño(AU)

Numerous clinical diseases can affect the colon structure or normal functioning. Tumors, inflammatory and infectious processes and physiological or mechanical disorders of that organ are increasingly frequent. We report the case of a male patient, white, 45 years old, who 10 months earlier began with colicky pain in the upper left hemiabdomen. This pain gradually shifted to the flank and iliac fossa on that side, becoming moderately intense, intermittent, without prandial relation, accompanied by aerocolia, constipation that alternated with soft stools with phlegm and weight loss of approximately 8 pounds. During this time, his health gradually worsened, which is why he requests medical attention. Endoscopic procedures and imaging studies were performed. Sigmoid carcinoma was detected. An exploratory laparotomy was performed with excision of the organ and a granulomatous formation was confirmed, which upon opening revealed a foreign body with fibrous tissue and angiogenesis. It is essential to perform a meticulous anamnesis including the possible ingestion of a foreign body to all patients who request medical assistance due to low digestive manifestations of long time of evolution and whose physical examination confirms an inflammatory or tumoral mass in the colon, even more in its left part, or to those presenting obstructive manifestations(AU)

Non-familial paediatric colorectal cancers - an 18 years’ experience.

Background: Primary gastrointestinal malignancies constitute only 1% of all paediatric neoplasms. Aim: The aim of this study was to describe our 18 years’ experience with non-familial paediatric colorectal malignancies, outlining pertinent features of diagnosis, treatment and outcome. Methods: 9 patients of non-familial paediatric colorectal malignancies were admitted in PGIMS, Rohtak, Haryana between 1990 and 2008. After the initial surgical management, the advanced cases underwent chemotherapy and radiation therapy where required and were followed up. Results: There were six male and three female patients (age range: 7 to 16 years). Three tumours arose in the rectum, three in the sigmoid colon, one each in the splenic flexure and appendix, and there was one case of diffuse colonic polyposis. All cases presented with obstruction and rectal bleeding. Two cases of sigmoid carcinoma were unresectable and expired 4 months post-surgery. The rest responded to radical resection. Three patients required palliative radiation therapy. Due to the advanced stage, chemotherapy was given to all the carcinoma patients. One patient had local recurrence after 5 months and another developed distant metastasis. The rest are on follow-up and clinically and radiologically disease free. Conclusion: Paediatric colorectal malignancy is a rare entity, usually diagnosed in the later stages, culminating in advanced disease. A majority of cases undergo radical resection due to the advanced stage of presentation. Advanced stages may also require chemotherapy and radiation therapy.