Malignant perforation of sigmoid colon in long-standing ulcerative colitis
Chronic ulcerative colitis (UC) is a risk factor for malignancy in longterm disease process. Obstruction, perforation, and hemorrhage are the possible emergency situations in colorectal malignancy. A 68-year-old male with chronic UC for 18 years with steroiddependent disease (on 10 mg prednisolone d...
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| Language: | English |
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SAGE Publishing
2019-01-01
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| Series: | Apollo Medicine |
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| Online Access: | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2019;volume=16;issue=3;spage=187;epage=190;aulast=Adithya |
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| author | G K Adithya Varun Madaan Rigved Gupta Satya Prakash Jindal Deepak Govil |
| author_facet | G K Adithya Varun Madaan Rigved Gupta Satya Prakash Jindal Deepak Govil |
| author_sort | G K Adithya |
| collection | DOAJ |
| description | Chronic ulcerative colitis (UC) is a risk factor for malignancy in longterm disease process. Obstruction, perforation, and hemorrhage are the possible emergency situations in colorectal malignancy. A 68-year-old male with chronic UC for 18 years with steroiddependent disease (on 10 mg prednisolone daily) presented with acute pain abdomen with distention not passing stool or flatus for 2 days. Diagnosed to have perforated sigmoid malignancy, underwent Hartmann's procedure. Following the adjuvant therapy, the patient denied any definitive surgery and opted to stay on Colorectal Cancer Surveillance Programme. At present, patient's positron emission tomography/computed tomography shows pelvic, liver surface, and small bowel deposits, suggestive of recurrence or metastasis. This case report is discussed to emphasis the importance of aggressive surgical treatment in longterm steroiddependent disease and poor prognosis of perforated malignancy irrespective of pathological staging. |
| format | Article |
| id | doaj-art-be3af2cb2ae34e5daa5f39927926cf58 |
| institution | OA Journals |
| issn | 0976-0016 2213-3682 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Apollo Medicine |
| spelling | doaj-art-be3af2cb2ae34e5daa5f39927926cf582025-08-20T01:47:40ZengSAGE PublishingApollo Medicine0976-00162213-36822019-01-0116318719010.4103/am.am_33_19Malignant perforation of sigmoid colon in long-standing ulcerative colitisG K AdithyaVarun MadaanRigved GuptaSatya Prakash JindalDeepak GovilChronic ulcerative colitis (UC) is a risk factor for malignancy in longterm disease process. Obstruction, perforation, and hemorrhage are the possible emergency situations in colorectal malignancy. A 68-year-old male with chronic UC for 18 years with steroiddependent disease (on 10 mg prednisolone daily) presented with acute pain abdomen with distention not passing stool or flatus for 2 days. Diagnosed to have perforated sigmoid malignancy, underwent Hartmann's procedure. Following the adjuvant therapy, the patient denied any definitive surgery and opted to stay on Colorectal Cancer Surveillance Programme. At present, patient's positron emission tomography/computed tomography shows pelvic, liver surface, and small bowel deposits, suggestive of recurrence or metastasis. This case report is discussed to emphasis the importance of aggressive surgical treatment in longterm steroiddependent disease and poor prognosis of perforated malignancy irrespective of pathological staging.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2019;volume=16;issue=3;spage=187;epage=190;aulast=Adithyachronic ulcerative colitisperforated colonic malignancysteroid-dependent ulcerative colitis |
| spellingShingle | G K Adithya Varun Madaan Rigved Gupta Satya Prakash Jindal Deepak Govil Malignant perforation of sigmoid colon in long-standing ulcerative colitis Apollo Medicine chronic ulcerative colitis perforated colonic malignancy steroid-dependent ulcerative colitis |
| title | Malignant perforation of sigmoid colon in long-standing ulcerative colitis |
| title_full | Malignant perforation of sigmoid colon in long-standing ulcerative colitis |
| title_fullStr | Malignant perforation of sigmoid colon in long-standing ulcerative colitis |
| title_full_unstemmed | Malignant perforation of sigmoid colon in long-standing ulcerative colitis |
| title_short | Malignant perforation of sigmoid colon in long-standing ulcerative colitis |
| title_sort | malignant perforation of sigmoid colon in long standing ulcerative colitis |
| topic | chronic ulcerative colitis perforated colonic malignancy steroid-dependent ulcerative colitis |
| url | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2019;volume=16;issue=3;spage=187;epage=190;aulast=Adithya |
| work_keys_str_mv | AT gkadithya malignantperforationofsigmoidcoloninlongstandingulcerativecolitis AT varunmadaan malignantperforationofsigmoidcoloninlongstandingulcerativecolitis AT rigvedgupta malignantperforationofsigmoidcoloninlongstandingulcerativecolitis AT satyaprakashjindal malignantperforationofsigmoidcoloninlongstandingulcerativecolitis AT deepakgovil malignantperforationofsigmoidcoloninlongstandingulcerativecolitis |