关键词: colon cancer prevention colon resection functional constipation gi oncology rectosigmoid mass rectosigmoid resection screening colonoscopy sigmoid adenocarcinoma surgery general tubulovillous adenocarcinoma

来  源:   DOI:10.7759/cureus.38393   PDF(Pubmed)

Abstract:
We report the case of a 56-year-old male presenting with nine days of constipation and absence of flatus without any improvement and who had received conservative management after recent admission at an external hospital. Upon further investigation, the patient was diagnosed with rectosigmoid adenocarcinoma and was successfully surgically treated without any perioperative complications. This case highlights the importance of early detection and interventions necessary to prevent progression of colorectal adenocarcinoma. Easily manageable symptoms such as constipation may require further evaluation by implementing a constipation scoring system to avoid missed diagnoses such as cancer and metastasis. Therefore, the association between constipation and colorectal carcinoma warrants further research investigations as well as clinician awareness to prevent life-threatening complications.
摘要:
我们报告了一例56岁的男性,表现为9天的便秘和无排气,但没有任何改善,并且最近在一家外部医院入院后接受了保守治疗。经进一步调查,患者被诊断为直肠乙状结肠腺癌,手术治疗成功,无任何围手术期并发症。该病例强调了早期发现和必要干预以预防结直肠腺癌进展的重要性。容易控制的症状,如便秘,可能需要通过实施便秘评分系统进行进一步评估,以避免漏诊,如癌症和转移。因此,便秘与结直肠癌之间的关联值得进一步的研究调查以及临床医生对预防危及生命的并发症的认识.
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