ARCHIVES OF THE BALKAN MEDICAL UNION

Difficulties in differential diagnosis of colon pathology

24 views

ABSTRACT

Introduction. Colorectal cancer and diverticular disease are conditions with high prevalence, the number of new cases diagnosed annually reaching millions. Diverticular disease progresses to diverticulitis in 4-15% of cases. Diverticular disease and colorectal cancer can have similar clinical presentations, making the differential diagnosis difficult, especially in an acute stage.
Case presentation. We present the case of a 79 year-old female, who presented to the emergency room complaining of diffuse abdominal pain, diarrhea within the previous three days, a weight loss of ten kilograms in the previous month, fatigability and asthenia. During the physical examination, a palpable
tumor mass in the right flank was found. From the paraclinical results, a severe anemia and leukocytosis could be noted.
Conclusion On the basis of these results alone, a final diagnosis could not be established. Additional imaging tests were needed: CT scan and repeated colonoscopies. These confirmed the final diagnosis of complicated diverticular disease, the initial presumption being of an ascending colon tumor.
Key words acute diverticulitis, colorectal cancer.

Full text sources
Share.

About Author

Razvan Vasile Stoian, Andrei Haidar, Daniel Ion, Marius Cotofana, Amelia Voinea, Octavian Andronic and Dan Nicolae Paduraru

Comments are closed.