Edorium Journal of

Emergency Medicine

 
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Case Report
 
Spontaneous colonic perforation from occult colorectal malignancy: A case report
Daniel Frank1, Alyssa Berns1
1Hackensack University Medical Center, Emergency Trauma Department Emergency Trauma Department 30 Prospect Avenue Hackensack, NJ 07601.

Article ID: 100001E02JS2015
doi:10.5348/E02-2015-1-CR-1

Address correspondence to:
Daniel Frank
Hackensack University Medical Center Emergency Trauma Department
30 Prospect Avenue Hackensack
NJ 07601
Phone: 551-996-2331 / 551-996-2000 ext 72139

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How to cite this article
Frank D, Berns A. Spontaneous colonic perforation from occult colorectal malignancy: A case report. Edorium J Emerg Med 2015;1:1–4.


Abstract
Introduction: 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.
Case Report: 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.
Conclusion: 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.

Keywords: Cancer, Colorectal malignancy, Perforation, Peritonitis


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Author Contributions
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
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Daniel Frank et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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