Solitary ulcer in cecum, mimicking a carcinoma: A case report

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dc.creatorJavier Rojas Méndez
dc.creatorLucas Octavio Tijerina Gómez
dc.date2017
dc.date.accessioned2018-10-18T21:21:58Z
dc.date.available2018-10-18T21:21:58Z
dc.descriptionIntroduction Solitary ulcers in the colon are rare and infrequent; little over 200 cases have been reported in medical literature. We present a case of a patient presenting with a solitary colonic ulcer associated with NSAIDs intake, mimicking a malignant lesion. A review of the literature is also revised. Presentation of case 68- year-old female patient with past history of nonsteroidal anti-inflammatory drugs (NSAID) intake for chronic pain, complaining of severe abdominal pain was admitted to our teaching hospital. The diagnosis of a low-grade dysplasia was made with colonoscopy and biopsy, a malignant lesion could not be ruled out. A laparoscopy right colectomy was performed without complications. The final diagnosis resulted in a solitary cecal ulcer. Discussion The majority of the cases of solitary colonic ulcers occur in the ascending colon, at the cecum, which has been attributed mostly to the intake of NSAIDs. There could be solitary colonic ulcers in other portions of the large intestine, caused by different etiologies: ischemia, inflammatory disease, sterocoraceus ulcers, ulcers caused by infections, among other more uncommon causes. The diagnosis is often made through a biopsy of the tissue during a colonoscopy, with either surgical or conservative care. Conclusion The diagnosis of solitary cecal ulcer should be considered in patients presenting with RLQ abdominal pain and with history of NSAIDs consumption. Recognition of this diagnosis by surgeons, ruling out malignancies, understanding the morphologic features, and carefully taking the patient's history are essential for the diagnosis and treatment of this uncommon disease. © 2017 The Author(s)
dc.identifier.doi10.1016/j.amsu.2017.07.041
dc.identifier.endpage48
dc.identifier.issn20490801
dc.identifier.startpage45
dc.identifier.urihttp://hdl.handle.net/11285/630444
dc.identifier.volume21
dc.languageeng
dc.publisherElsevier Ltd
dc.relationhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85025616643&doi=10.1016%2fj.amsu.2017.07.041&partnerID=40&md5=ad3d6752c3fbb5934f90d93b29aab00a
dc.relationInvestigadores
dc.relationEstudiantes
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0
dc.sourceAnnals of Medicine and Surgery
dc.subjectindometacin
dc.subjectnonsteroid antiinflammatory agent
dc.subjectparacetamol
dc.subjectscopolamine butyl bromide
dc.subjectabdominal pain
dc.subjectaged
dc.subjectArticle
dc.subjectcase report
dc.subjectchronic pain
dc.subjectcolon resection
dc.subjectcolon ulcer
dc.subjectcolonoscopy
dc.subjectcomputer assisted tomography
dc.subjectfemale
dc.subjectheart arrhythmia
dc.subjecthuman
dc.subjecthuman tissue
dc.subjectlaparoscopy
dc.subjectpain intensity
dc.subjectpriority journal
dc.subjectrisk factor
dc.subject.classification7 INGENIERÍA Y TECNOLOGÍA
dc.titleSolitary ulcer in cecum, mimicking a carcinoma: A case report
dc.typeArtículo
refterms.dateFOA2018-10-18T21:21:58Z

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