Bergeron E, Maniere T, Do XV, Bensoussan M, De Broux E. Three colonic cancers, two sites of complete occlusion, one patient: A case report. World J Gastrointest Surg 2021; 13(9): 1095-1101 [PMID: 34621483 DOI: 10.4240/wjgs.v13.i9.1095]
Corresponding Author of This Article
Eric Bergeron, MD, MSc, Surgeon, Department of General Surgery, Charles-LeMoyne Hospital, 3120 Taschereau, Greenfield Park J4V2H1, Quebec, Canada. erb_taz2001@yahoo.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Sep 27, 2021; 13(9): 1095-1101 Published online Sep 27, 2021. doi: 10.4240/wjgs.v13.i9.1095
Three colonic cancers, two sites of complete occlusion, one patient: A case report
Eric Bergeron, Thibaut Maniere, Xuan Vien Do, Michael Bensoussan, Eric De Broux
Eric Bergeron, Department of General Surgery, Charles-LeMoyne Hospital, Greenfield Park J4V2H1, Quebec, Canada
Thibaut Maniere, Michael Bensoussan, Department of Gastroenterology, Charles-LeMoyne Hospital, Greenfield Park J4V2H1, Quebec, Canada
Xuan Vien Do, Department of Medical Imaging, Charles-LeMoyne Hospital, Greenfield Park J4V2H1, Quebec, Canada
Eric De Broux, Department of Digestive Surgery, Centre Hospitalier Universitaire de Montréal, Montreal H2X3E4, Quebec, Canada
Author contributions: Bergeron E and De Broux E reviewed the record; Bergeron E, De Broux E, Maniere T, Bensoussan M analyzed and interpreted the data; Do XV was involved in the provision of study material and reviewed CT imaging; and all authors critically reviewed and approved the final version of the article.
Informed consent statement: Patient's consent is joined.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The manuscript was revised according to the Care checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Eric Bergeron, MD, MSc, Surgeon, Department of General Surgery, Charles-LeMoyne Hospital, 3120 Taschereau, Greenfield Park J4V2H1, Quebec, Canada. erb_taz2001@yahoo.com
Received: March 17, 2021 Peer-review started: March 17, 2021 First decision: May 4, 2021 Revised: May 15, 2021 Accepted: August 20, 2021 Article in press: August 20, 2021 Published online: September 27, 2021 Processing time: 185 Days and 2.1 Hours
Abstract
BACKGROUND
Synchronous colonic cancer incidence is uncommon, and awareness about this rare condition is improved recently. However, in the presence of acute colonic obstruction, investigation and management of synchronous colonic cancer can be difficult and challenging.
CASE SUMMARY
A patient presented with acute colonic obstruction with impending rupture and complete examination of this patient revealed the presence of three colonic cancers, of which two were completely occluding.
CONCLUSION
The presence of multiple colonic cancers must be ruled out in order to plan the best management. We present the case with a review of literature and discuss the management of the case.
Core Tip: Synchronous colorectal cancer is not unusual. More than two colon cancers may be encountered occasionally. Consequently, the colon has to be fully evaluated before definitive surgery. However, in emergency situations such as obstructive cancer, investigation and management may become very challenging. We present and discuss about a case with three colon cancers at the same time, of which two were completely occlusive, rendering the management even more difficult.
