Alwabel Wed K, Aljesh Saud M, Alsamaani Ibrahim S, Alrasheed Ayman S, Alzahrani Nayef A
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Al Rimayah, Riyadh 14611, Saudi Arabia.
Department of Surgery, National Guard Health Affairs, King Abdulaziz Medical City, Al Rimayah, Riyadh 14611, Saudi Arabia.
J Surg Case Rep. 2024 Nov 16;2024(11):rjae701. doi: 10.1093/jscr/rjae701. eCollection 2024 Nov.
Hepatocellular carcinoma is the third leading cause of cancer deaths worldwide, with a 5-year survival rate of 20.3%, while colorectal cancer is a major cause of morbidity and mortality worldwide, being the third most common cancer in men and the second in women. In addition, multiple primary tumors, involving cancers at different sites and histologies, occur in 2.4% to 17% of cases. We report a case of a 74-year-old man with colon cancer presented at the Emergency Department with asymptomatic anemia post chemotherapy and surgical intervention two years ago. He reported experiencing paleness, dizziness, exertional dyspnea, and fatiguability for the past month. Therefore, chest computed tomography was performed to rule out pulmonary embolism; however, the image revealed an incidental finding of two hepatic lesions in segment II. After further investigations, the decision was to perform hepatic segmentectomy. Postoperative pathology revealed residual Hepatocellular carcinoma and metastatic colonic-type adenocarcinoma with mucinous differentiation.