British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 20, Issue.: 12
An Unusual Cause of Upper Gastrointestinal Bleeding in Clinical Practice; A Case Report of Locally Invasive Colon Cancer with Superimposed Actinomycosis
Y. A. Awuku1*, Y. A. Nartey1, J. I. Lovi1, M. Nortey2, T. M. Morna2 and P. K. Akakpo3 1Department of Medicine and Therapeutics, University of Cape Coast, Ghana. 2Department of Surgery, University of Cape Coast, Ghana. 3Department of Pathology, University of Cape Coast, Ghana.
Y. A. Awuku1*, Y. A. Nartey1, J. I. Lovi1, M. Nortey2, T. M. Morna2 and P. K. Akakpo3
1Department of Medicine and Therapeutics, University of Cape Coast, Ghana.
2Department of Surgery, University of Cape Coast, Ghana.
3Department of Pathology, University of Cape Coast, Ghana.
(1) Syed Faisal Zaidi, Department of Basic Medical Sciences, College of Medicine, King Saud Bin Abdulaziz University-HS, National Guard Health Affairs, King Abdulaziz Medical City, Kingdom of Saudi Arabia.
(1) Negoi Ionut, Carol Davila University of Medicine and Pharmacy, Emergency Hospital of Bucharest, Romania.
(2) B. B. Sharma, PGIMER and Dr. RML Hospital, New Delhi Ram Manohar Lohia Hospital, India.
(3) Carlos Henrique Marques dos Santos, Universidade Anhanguera, Brazil.
Complete Peer review History: http://www.sciencedomain.org/review-history/18713
Background: Colon cancer commonly presents with lower gastrointestinal bleeding in symptomatic patients. Upper gastrointestinal bleeding as a symptom of colon cancer is unusual. This case highlights the diagnostic and management challenges of colon cancer masquerading as gastric ulcer with a bleeding complication.
Case Presentation: We report the case of a 45-year-old man who presented with passage of melaena stools with associated epigastric pain. Endoscopy revealed gastric ulcer in the greater curvature. Histopathology identified a diffuse adenocarcinoma with superimposed actinomycosis. Intra-operatively the patient was found to have a carcinoma of the transverse colon diffusely infiltrating and ulcerating the stomach in its greater curvature. Patient died from bilateral pulmonary thromboembolism 10 weeks after the surgery.
Conclusion: Although rare, colon cancer can present with upper gastrointestinal bleeding. It must be considered as a differential in the work up for a patient passing melaena stool.
Colon cancer; upper gastrointestinal bleeding; gastric actinomycosis.
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DOI : 10.9734/BJMMR/2017/32202Review History Comments