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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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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. |
format | Online Article Text |
id | pubmed-9803964 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT dedekenjulie primaryadenocarcinomaofanileostomyinacrohnpatientacasereport AT stavrougregora primaryadenocarcinomaofanileostomyinacrohnpatientacasereport |