In literature, synchronous colorectal cancer refers to the simultaneous presence of two or moremalignant lesions located along different segments of the large intestine or separated by at least 4cm, detected either pre-, intraoperatively or after maximum 6 months since a surgery addressed to acolon tumor. The incidence of synchronous tumors is approximately 3,5% of all cases of colorectalcarcinoma, while in others it reaches up to 8,4%. It is believed that this difference is mainly due tofalse negative results. The present paper presents the case of a 75-year-old patient, with a history ofessential hypertension and type 2 insulin-requiring diabetes who came to the emergency roomaccusing diffuse abdominal pain and bloating accompanied by the absence of intestinal transit forfecal matter over the past 6 days and an episode of vomiting. The results of the investigationscorrelated with the patient’s symptomatology indicate the diagnosis of bowel obstruction. Theexploratory laparotomy reveals an ulcero- vegetative, partially stenotic mass lesion in the sigmoidcolon with a diameter of about 5/6 cm. A second ulcero-vegetative, stenotic mass was identified atthe hepatic flexure of the colon with a diameter of approximately 8/7 cm. No metastatic lesions onthe liver or in the abdominal cavity were noted. Right hemicolectomy with end-to-endileotransverse-anastomosis and end-to-end colorectal anastomosis were performed. The presentpaper aims to expose the particular aspects of the diagnosis and treatment of bowel obstruction bysynchronous tumors on a patient with abdominal symptomatology attenuated on the background ofneurological complications of diabetes.
PARTICULARITIES OF DIAGNOSIS AND TREATMENT IN A CASE OF SYNCHRONOUS COLORECTAL CANCER