Korean J Gastrointest Endosc > Volume 38(5); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(5): 270-274.
장천공을 유발한 대장결핵이 동반된 대장암 1예
건국대학교 의학전문대학원 내과학교실, *병리학교실, 외과학교실
A Case of Colon Cancer Coexisting with Colonic Tuberculosis and This Presented as Bowel Perforation
Chi Hun Kim, M.D., Hye Seung Han, M.D.*, Jeong Hwan Kim, M.D., Byeong Kuk Kim, M.D. and Seong Hwang Jang, M.D.
Departments of Internal Medicine, *Pathology and Surgery, Konkuk University School of Medicine, Seoul, Korea
Tuberculosis can involve any part of the body and there are case reports of tuberculosis coexisting with malignancy in most body organs. However, cases of intestinal tuberculosis associated with colon cancer have rarely reported. Inflammatory bowel diseases can progress to malignant diseases due to mucosal dysplastic change. Similarly, intestinal tuberculosis can cause chronic inflammation, but the exact relationship between intestinal tuberculosis and colon cancer is currently obscure. A 71-year-old woman visited our hospital because of abrupt right lower abdominal pain that progressed to rebound tenderness and abdominal rigidity. Abdominal computed tomography showed a polypoid mass in the cecum and a distended terminal ileum. Right hemicolectomy was performed and the surgical specimen revealed extremely well differentiated adenocarcinoma combined with intestinal tuberculosis and bowel perforation in the cecum. We report here on a rare case of colon cancer coexisting with colonic tuberculosis and this presented as bowel perforation. We also include a review of the relevant literature. (Korean J Gastrointest Endosc 2009;38:270-274)
Key Words: Bowel perforation, Colon cancer, Colonic tuberculosis, Extremely well differentiated adenocarcinoma
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