The diagnostic and therapeutic management of a peculiar case of rectal submucosal adenocarcinoma

Journal of Clinical and Investigative Surgery. 2018;3(1):47-52 DOI 10.25083/2559.5555/31.4752

 

Journal Homepage

Journal Title: Journal of Clinical and Investigative Surgery

ISSN: 2559-5555 (Online)

Publisher: Digital ProScholar Media

Society/Institution: Digital ProScolar media

LCC Subject Category: Medicine

Country of publisher: Romania

Language of fulltext: English

Full-text formats available: PDF

 

AUTHORS

Angela Blajin (Colțea Clinical Hospital, Department of General Surgery, Bucharest, Romania)
Dan Cristian (Colțea Clinical Hospital, Department of General Surgery, Bucharest, Romania)
Iulia Sălcianu (Colțea Clinical Hospital, Department of Radiology and Medical Imaging, Bucharest, Romania)
Luminița Welt (Colțea Clinical Hospital, Department of Pathological Anatomy, Bucharest, Romania)
Răzvan V. Scăunaşu (Colțea Clinical Hospital, Department of General Surgery, Bucharest, Romania)
Nicu Berevoescu (Colțea Clinical Hospital, Department of General Surgery, Bucharest, Romania)
Cătălina Blajin (Carol Davila University of Medicine and Pharmacy, Faculty of General Medicine, Bucharest, Romania)
Traean Burcoş (Colțea Clinical Hospital, Department of General Surgery, Bucharest, Romania)

EDITORIAL INFORMATION

Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 12 weeks

 

Abstract | Full Text

We are presenting the case of a 50 years old female patient with rectal cancer, developed from the submucosal level, who raised difficulties in diagnoses process and therapeutic management. Case report The patient’s symptomatology began four months before the definitive diagnose. Various investigations have been performed, including multiple biopsies which were inconclusive. Surgical intervention was performed to obtain definitive malignancy HP result. The postoperative evolution was peculiar, marked by complications, which required multiple surgical interventions. Conclusions The development of the adenoma, predominantly at the submucosal and muscular level has caused difficulties in both establishing the diagnosis and in the therapeutic management. Sclerosing encapsulated peritonitis (SEP) is a rare clinical entity, usually discovered in postoperative intestinal obstruction cases. The etiology and frequency of the SEP depend on its’ type.