A Case of Ulcerative Colitis Induced by Paraneoplastic Syndrome?

Abstract

Tao Zhang,1 Zhu-Bin Pan,1 Wen-Jia Tong,2 Yu-Liang Zhou,1 Yuan Cheng,1 Dan-Qun Jin,2 Shi-Qin Qi,1 Zhen-Qiang Zhang1 1Department of General Surgery, Anhui Provincial Children’s Hospital, Children’s Hospital of Fudan University Anhui Hospital, Children’s Hospital of Anhui Medical University, Hefei, 230000, People’s Republic of China; 2Department of Pediatric Intensive Care Unit, Anhui Provincial Children’s Hospital, Children’s Hospital of Fudan University Anhui Hospital, Children’s Hospital of Anhui Medical University, Hefei, 230000, People’s Republic of ChinaCorrespondence: Zhu-Bin Pan, Department of General Surgery, Anhui Provincial Children’s Hospital, Children’s Hospital of Fudan University Anhui Hospital, Children’s Hospital of Anhui Medical University, No. 39 of Wang Jiang Dong Street, Bao He District, Hefei, 230000, People’s Republic of China, Tel [phone], Fax [phone], Email [email protected]: Paraneoplastic syndromes often cause endocrine, neurological, cutaneous, and hematologic pathologies, and cases with digestive symptoms as prominent cases are rare.Case Description: A 1-year-old child admitted to the emergency department with severe abdominal distension was later diagnosed with sacrococcygeal yolk cystoma with ulcerative colitis. After symptomatic management, surgical removal of the tumor, and JEB chemotherapy, the symptoms of ulcerative colitis disappeared completely. After 7 years of follow-up, the child grew and developed well, and there was no recurrence of tumor and ulcerative colitis.Conclusion: Yolk sac tumor with ulcerative colitis is a rare paraneoplastic syndrome with complex clinical manifestations.Keywords: children, paraneoplastic syndrome, toxic megacolon, ulcerative colitis, yolk sac tumor

Keywords

• children
• paraneoplastic syndrome
• toxic megacolon
• ulcerative colitis
• yolk sac tumor