ISSN ONLINE: 2558-815X
ISSN PRINT: 1584-9244
ISSN-L: 1584-9244

Difficulties in differential diagnosis of colon pathology



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.
Keywords: acute diverticulitis, colorectal cancer.

Corresponding author:

University of Medicine and Pharmacy “Carol Davila“, Bucharest, Romania
Phone +40 724 024 019, email:

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