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Cecal ameboma mimicking obstructing colonic carcinoma
1Department of General Surgery, Alnoor Specialized Hospital, Makkah, Saudi Arabia.
Journal of Surgical Case Reports
|June 27, 2018
Summary
Ameboma, a rare complication of chronic amebic infection, can mimic colon cancer. This case highlights the importance of considering ameboma in the differential diagnosis of colonic masses.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Pathology
Background:
- Ameboma is a granulomatous mass resulting from chronic amebic infection, often presenting with symptoms like bowel obstruction or bleeding.
- It can clinically and endoscopically resemble colon carcinoma, posing a diagnostic challenge.
Observation:
- A 45-year-old male presented with abdominal pain and constipation.
- Radiological and endoscopic evaluations suggested a colonic carcinoma.
Findings:
- Surgical management with right hemicolectomy was performed.
- Post-operative histopathology confirmed the diagnosis of cecal ameboma.
Implications:
- This case underscores the need to include ameboma in the differential diagnosis of colonic masses, especially in endemic areas.
- Accurate diagnosis is crucial for appropriate treatment and to avoid unnecessary radical surgery for benign conditions.
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