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. 2010 Jun 1:4:167.
doi: 10.1186/1752-1947-4-167.

Colonic adenocarcinoma revealing Crohn's disease: a case report

Amal Ankouz  1 , Karim Ibn Majdoub, Abdelmalek Ousadden, Khalid Mazaz, Khalid Ait Taleb
Affiliations

Colonic adenocarcinoma revealing Crohn's disease: a case report

Amal Ankouz et al. J Med Case Rep. .

Abstract

Introduction: There is growing evidence from epidemiological studies and clinicopathological data obtained from case reports that Crohn's disease is associated with an increased risk of carcinoma of the large bowel.

Case presentation: A 70-year-old Arabic African man with undiagnosed Crohn's disease presented with acute abdominal obstruction due to an occlusive carcinoma of the sigmoid. At laparotomy, the colonic tumor was excised with continuity restored by end-to-end anastomosis.

Conclusion: The risk of colonic carcinoma in Crohn's disease is increasing. Several case reports actually support the possibility that a genuine association between these two conditions exists.

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Figures

Figure 1
Figure 1
Pre-operative abdominal scan showing the sigmoid process.
Figure 2
Figure 2
Photograph of the surgical specimen.
Figure 3
Figure 3
Histological examination of the specimen revealing adenocarcinoma of the colon sigmoid.
Figure 4
Figure 4
Histology showing deep inflammation associated with pseudotuberculoid granuloma.
See this image and copyright information in PMC

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