Frank D, Berns A. Spontaneous colonic perforation from occult colorectal malignancy: A case report. Edorium J Emerg Med 2015;1:1–4.
Spontaneous colonic perforations due to colorectal malignancy are rare and associated with poor outcomes. Urgent presentations of previously undiagnosed colon cancers are increasing in emergency departments, and warrant some familiarity by emergency physicians to improve patient care.
A case of a 65-year-old male presented to our emergency department in septic shock associated with a colorectal perforation secondary to an occult malignancy. The patient was taken into the operating room for an emergent laparotomy, where a mass in the splenic flexure was found to be causing a complete colonic obstruction, causing a gangrenous cecum with perforation. The patient was successfully recovered and discharged home on hospital day-8, and approximately one year later he is still undergoing outpatient management of his cancer.
We review literature related to the emergency department presentation of occult colorectal malignancies with perforation, and discuss how emergency physicians can facilitate the care of these patients.
Daniel Frank – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Alyssa Berns – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
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Authors declare no conflict of interest.