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Published on: July 28, 2010
Colon cancer arising from colonic diverticulum: A case report
Hajime Kayano1, Yusuhiko Ueda2, Takashi Machida2
1Department of Gastroenterological and General Surgery, Tokai University Hachioji Hospital, Tokyo, Hachioji 192-0032, Japan. h.kayano@tsc.u-tokai.ac.jp.
Colon cancer rarely arises within colonic diverticula. This case highlights the importance of considering colon cancer in diverticulitis with complications, especially when it presents unusually.
Area of Science:
- Gastroenterology and Surgical Oncology
- Colorectal Surgery
- Oncology
Background:
- Colonic diverticulosis is common, often coexisting with colorectal cancer.
- Malignancies originating within colonic diverticula are exceptionally rare.
- Differentiating diverticular cancer from complicated diverticulitis poses diagnostic challenges.
Observation:
- A 76-year-old male presented with urinary frequency and discomfort.
- Computed tomography revealed a vesicosigmoidal fistula, initially presumed to be from diverticulitis.
- Histopathology confirmed a vesicosigmoidal fistula secondary to colon cancer originating in a diverticulum.
Findings:
- Laparoscopic sigmoidectomy was performed, followed by partial bladder resection due to local recurrence.
- The patient showed no recurrence or metastasis one year post-reoperation.
- This case underscores the difficulty in diagnosing diverticular colon cancer presenting as complicated diverticulitis.
Implications:
- Clinicians should maintain a high index of suspicion for colon cancer arising in diverticula.
- Vesicosigmoidal fistula in the context of diverticulitis warrants thorough investigation for underlying malignancy.
- Early and accurate diagnosis is crucial for effective management of rare diverticular malignancies.
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