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All Journal The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Linda Rotty
Division of Hematology and Medical Oncology, Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado
Medicine & Pharmacology

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Bowel Obstruction and Perforation as Emergency Presenting Sign of Colorectal Cancer with Peritoneal Carcinomatosis: A Case Report and Review Randy Adiwinata; Linda Rotty; Michael Tendean; Bradley Jimmy Waleleng; Fandy Gosal; Luciana Rotty; Jeanne Winarta; Andrew Waleleng
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 21, No 3 (2020): VOLUME 21, NUMBER 3, December 2020
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (962.994 KB) | DOI: 10.24871/2132020235-240

Abstract

Colorectal cancer patient may present with variable clinical presentation. In few cases, colorectal cancer may present as emergency such as uncontrollable gastrointestinal bleeding, large bowel obstruction and in rarer fashion is bowel perforation. Worse prognosis is linked with emergency presenting colorectal cancer. Peritoneal carcinomatosis may occur in 10-35% of colorectal cancer patients and may develop bowel obstruction along with the primary colorectal cancer. Here, we report a-62-year-old man presented with large bowel obstruction leading to perforation without known history of colorectal cancer before. On emergency laparotomy, we found colorectal cancer and peritoneal carcinomatosis as the underlying cause. Prompt diagnosis and urgent management is warranted to improve the prognosis.
Co-Authors Andrew Waleleng Bradley Jimmy Waleleng Fandy Gosal Jeanne Winarta Luciana Rotty Michael Tendean Randy Adiwinata