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Case Reports
. 2022 Dec 30;2022(12):rjac609.
doi: 10.1093/jscr/rjac609. eCollection 2022 Dec.

Primary adenocarcinoma of an ileostomy in a Crohn patient: a case report

Julie De Deken  1 , Gregor A Stavrou  1
Affiliations
Case Reports

Primary adenocarcinoma of an ileostomy in a Crohn patient: a case report

Julie De Deken et al. J Surg Case Rep. .

Abstract

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.

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Figures

Figure 1
Figure 1
Large, nonobstructive tumour of the ileostomy with vulnerable mucosa.
See this image and copyright information in PMC

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