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Primary adenocarcinoma of an ileostomy in a Crohn patient: a case report

Proctocolectomy with ileostomy is an established surgical treatment in patients with inflammatory bowel disease. Adenocarcinoma of an ileostomy is a rare complication in long-term ileostomies. We present the case of a 69-year-old man who presented with bloody stools and a tumour at the ileostomy sit...

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Autores principales: De Deken, Julie, Stavrou, Gregor A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803964/
https://www.ncbi.nlm.nih.gov/pubmed/36601093
http://dx.doi.org/10.1093/jscr/rjac609
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author De Deken, Julie
Stavrou, Gregor A
author_facet De Deken, Julie
Stavrou, Gregor A
author_sort De Deken, Julie
collection PubMed
description Proctocolectomy with ileostomy is an established surgical treatment in patients with inflammatory bowel disease. Adenocarcinoma of an ileostomy is a rare complication in long-term ileostomies. We present the case of a 69-year-old man who presented with bloody stools and a tumour at the ileostomy site 37 years after ileostomy formation. Biopsies confirmed the presence of an adenocarcinoma. Imaging did not show any metastases or advanced local infiltration. A resection of the ileostomy with a broad safety margin and reimplantation of a new Ileostomy was performed. At 18-month follow-up, there is no sign of recurrence. Ileostomy adenocarcinoma in a Crohn’s disease patient is rare with only four cases described in literature. An en-bloc resection and relocation of the ileostomy is the recommended treatment. Education of patients and healthcare professionals on this long-term ileostomy complication is vital for the early diagnosis and treatment.
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spelling pubmed-98039642023-01-03 Primary adenocarcinoma of an ileostomy in a Crohn patient: a case report De Deken, Julie Stavrou, Gregor A J Surg Case Rep Case Report Proctocolectomy with ileostomy is an established surgical treatment in patients with inflammatory bowel disease. Adenocarcinoma of an ileostomy is a rare complication in long-term ileostomies. We present the case of a 69-year-old man who presented with bloody stools and a tumour at the ileostomy site 37 years after ileostomy formation. Biopsies confirmed the presence of an adenocarcinoma. Imaging did not show any metastases or advanced local infiltration. A resection of the ileostomy with a broad safety margin and reimplantation of a new Ileostomy was performed. At 18-month follow-up, there is no sign of recurrence. Ileostomy adenocarcinoma in a Crohn’s disease patient is rare with only four cases described in literature. An en-bloc resection and relocation of the ileostomy is the recommended treatment. Education of patients and healthcare professionals on this long-term ileostomy complication is vital for the early diagnosis and treatment. Oxford University Press 2022-12-30 /pmc/articles/PMC9803964/ /pubmed/36601093 http://dx.doi.org/10.1093/jscr/rjac609 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
De Deken, Julie
Stavrou, Gregor A
Primary adenocarcinoma of an ileostomy in a Crohn patient: a case report
title Primary adenocarcinoma of an ileostomy in a Crohn patient: a case report
title_full Primary adenocarcinoma of an ileostomy in a Crohn patient: a case report
title_fullStr Primary adenocarcinoma of an ileostomy in a Crohn patient: a case report
title_full_unstemmed Primary adenocarcinoma of an ileostomy in a Crohn patient: a case report
title_short Primary adenocarcinoma of an ileostomy in a Crohn patient: a case report
title_sort primary adenocarcinoma of an ileostomy in a crohn patient: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803964/
https://www.ncbi.nlm.nih.gov/pubmed/36601093
http://dx.doi.org/10.1093/jscr/rjac609
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