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Ascending colon stenosis caused by repeated diverticulitis that clinically mimicked advanced colon cancer
4th World Congress on SURGICAL PATHOLOGY AND ONCOLOGY RESEARCH
October 17, 2022 | Webinar
Shogo Yoshida
Kochi University, Japan
Scientific Tracks Abstracts : J Clin Path Lab Med
Abstract:
Introduction: We experienced a rare case of right-sided large bowl obstruction (LBO) of the colon caused by chronic diverticulitis, which was challenging to diagnose. A young male was admitted to our department with a fever, diarrhoea and right-sided lateral abdominal pain for several days. CT showed a thickened ascending colon wall with stenosis and adjacent retroperitoneal inflammation without marked diverticula. The next day, he developed severe abdominal pain and perforation was suspected. We chose the “interval definitive surgery”; at that time, intestinal decompression and laparoscopic drainage. Colonoscopy showed an edematous membrane, but no cancerous lesions or diverticula. Hemi-colectomy was performed after 10 days' nutritional therapy. No postoperative complication occurred. The histopathology showed that the pathogenesis was chronic diverticulitis. Discussion: There have been few reported cases of right-sided LBO caused by diverticulitis, but it is important to be aware that benign disease, such as chronic diverticulitis, can cause LBO. Initial conservative therapy and nutritional therapy produced a correct diagnosis and good outcomes.
References :
1. Two cases of splenetic neoplasms with differing imaging findings that required laparoscopic resection for a definitive diagnosis.
2. The first case of POEMS syndrome with synchronous breast cancer: What are the associated diagnostic challenges?
Biography:
Shogo Yoshida is the medical student at Kochi Medical School (KMS), Kochi University (Kochi, Japan). Yoshida gained the first degree in physics at the Ibaraki University (Ibaraki, japan). After that, he entered KMS in 2017 for second degree in Medicine. Now he is studying under Dr. Kazuhiro Hiyama, the director of Surgery at Atago Hospital.
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