Drayton Shakira, Chandra Aninda, Piotrowicz Andrzej
Department of Surgery, Queen Elizabeth the Queen Mother Hospital, St Peter's Road, Margate, Kent CT9 4AN, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.10.2008.1088. Epub 2009 Mar 24.
Diarrhoea and weight loss are presenting features of both Crohn's disease and colorectal cancer; however, the two conditions can usually be distinguished on the basis of characteristic patterns of abnormalities observed at the time of initial blood testing and imaging. In patients with suspected Crohn's disease these are often considered sufficient grounds to commence empirical treatment before the results of histology are available. This case report describes a 45-year-old man whose initial clinical, endoscopic and radiological investigations were strongly suggestive of a diagnosis of Crohn's disease, but who subsequently was found to have an adenocarcinoma of the mid-transverse colon. He went on to have an emergency extended right hemi-colectomy.
腹泻和体重减轻是克罗恩病和结直肠癌的常见症状；然而，通常可以根据初次血液检测和影像学检查时观察到的特征性异常模式来区分这两种疾病。对于疑似克罗恩病的患者，在组织学检查结果出来之前，这些异常通常被认为是开始经验性治疗的充分依据。本病例报告描述了一名45岁男性，其最初的临床、内镜和放射学检查强烈提示克罗恩病诊断，但随后被发现患有横结肠中部腺癌。他随后接受了急诊扩大右半结肠切除术。
