Article Text

Reminder of important clinical lesson
A primary adenocarcinoma of the transverse colon mimicking Crohn’s disease: a case report and literature review
  1. Shakira Drayton1,
  2. Aninda Chandra1,
  3. Andrzej Piotrowicz2
  1. 1
    Department of Surgery, Queen Elizabeth the Queen Mother Hospital, St Peter’s Road, Margate, Kent CT9 4AN, UK
  2. 2
    Department of Gastroenterology, Queen Elizabeth the Queen Mother Hospital, St Peter’s Road, Margate, Kent CT9 4AN, UK
  1. S Drayton, shakiradrayton{at}doctors.org.uk

Summary

Diarrhoea and weight loss are presenting features of both Crohn’s disease and colorectal cancer; however, the two conditions can usually be distinguished on the basis of characteristic patterns of abnormalities observed at the time of initial blood testing and imaging. In patients with suspected Crohn’s disease these are often considered sufficient grounds to commence empirical treatment before the results of histology are available. This case report describes a 45-year-old man whose initial clinical, endoscopic and radiological investigations were strongly suggestive of a diagnosis of Crohn’s disease, but who subsequently was found to have an adenocarcinoma of the mid-transverse colon. He went on to have an emergency extended right hemi-colectomy.

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Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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