Department of Surgery, Government medical college, Patiala 147001, India.
J Gastrointest Oncol. 2014 Apr;5(2):E40-2. doi: 10.3978/j.issn.2078-6891.2014.009.
Colorectal cancer is one of the most common cancer worldwide .Its incidence is reported to be increasing in developing countries. It commonly presents with weight loss, anaemia, lump abdomen, change of bowel habit, obstruction or fresh rectal bleeding. Beside these common modes of presentations, there are some rare manifestations which masqueraded as different disease like obstructive jaundice, empyema gall bladder or cholecystitis. A 60-year-old male presented to hospital with right sided pain abdomen. On abdominal examination mild tenderness was present in right hypochondrium. Intra operatively gall bladder was separated from the adjoining gut, peritoneum and liver bed and was removed. On further exploration, there was a large mass in the vicinity of the gall bladder related to transverse colon. Extended right hemicolectomy was done. Histopathological examination of gut mass revealed adenocarcinoma of transverse colon with free margins and gall bladder showed cholecystitis with no evidence of malignancy. We present an interesting case of colon cancer colon that caused diagnostic confusion by mimicking as cholecystitis. Colorectal cancer constitutes a major public health issue globally. Therefore, public awareness, screening of high-risk populations, early diagnosis and effective treatment and follow-up will help to reduce its occurance and further complications.
结直肠癌是全球最常见的癌症之一。据报道，发展中国家的发病率正在上升。它通常表现为体重减轻、贫血、腹部肿块、排便习惯改变、梗阻或新鲜直肠出血。除了这些常见的表现形式外，还有一些罕见的表现形式，如阻塞性黄疸、胆囊积脓或胆囊炎。一名 60 岁男性因右侧腹痛就诊。腹部检查时，右季肋部有轻度压痛。术中发现胆囊与邻近肠道、腹膜和肝床分离并被切除。进一步探查发现胆囊附近有一个大肿块与横结肠有关。进行了扩大的右半结肠切除术。肠道肿块的组织病理学检查显示横结肠癌伴游离边缘，胆囊显示胆囊炎，无恶性证据。我们提出了一个有趣的病例，即结肠癌通过模拟胆囊炎引起了诊断混淆。结直肠癌是全球一个主要的公共卫生问题。因此，提高公众意识、对高危人群进行筛查、早期诊断和有效治疗及随访，将有助于减少其发生和进一步的并发症。
