Case report, case study
https://doi.org/10.21860/medflum2024_313705
Cherry Pit as a Cause of Ileus in Colonic Stenosing Carcinoma - a Case Report
Marija Sabol
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
Zrinka Matana Kaštelan
; Sveučilište u Rijeci, Medicinski fakultet, Katedra za radiologiju, Rijeka, Hrvatska
Tiana Grubešić
; Sveučilište u Rijeci, Medicinski fakultet, Katedra za radiologiju, Rijeka, Hrvatska
Nikša Petrović
; Sveučilište u Rijeci, Medicinski fakultet, Katedra za radiologiju, Rijeka, Hrvatska
Damir Miletić
; Sveučilište u Rijeci, Medicinski fakultet, Katedra za radiologiju, Rijeka, Hrvatska
Abstract
Aim: The aim of this paper is to raise awareness of how cherry pits can cause bowel obstruction in patients with colon cancer. Case report: A 68-year-old male presented to the emergency department with a history of constipation and left paraumbilical pain. A standing abdominal x-ray revealed air-fluid levels in the small and large bowel suggestive of ileus, and the CT scan confirmed the dilation of the small and large bowel with air-fluid levels and a stenosing neoplasm in the descending colon. The narrow, irregular lumen of the tumor was obstructed by a round foreign body. The CT scan showed a hypodense oval center and hyperdense shell consistent with a cherry pit. A surgical opening was made in the abdominal wall and a segment of the bowel was extracted (anus praeter), and the patient was discharged after recovery. Two months later, the patient was readmitted to the surgical department, and a planned surgery was performed after preoperative evaluation. However, peritoneal carcinomatosis was found intraoperatively, and the planned radical procedure was abandoned. He was referred to the Department of Radiotherapy and Oncology where he received chemotherapy cycles. The following year in September, the patient returned for the 12th cycle application. He felt well and was discharged with the recommendation to continue his current therapy. Conclusion: Bowel obstruction caused by a cherry pit is a rare condition but should be included in the differential diagnosis in patients with risk factors such as colon cancer. Colon cancer is a serious disease that requires careful nutrition and bowel management.
Keywords
Colonic Neoplasms; Foreign Bodies; Ileus
Hrčak ID:
313705
URI
Publication date:
1.3.2024.
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