Acta Medica Okayama volume73 issue4
2019-08 発行
Watanabe, Ayako
Department of Surgery, Japanese Red Cross Kobe Hospital
Kadowaki, Yoshihiko
Department of Surgery, Japanese Red Cross Kobe Hospital
Hattori, Kenji
Department of Surgery, Japanese Red Cross Kobe Hospital
Ohmori, Mika
Department of Radiology, Japanese Red Cross Kobe Hospital
Tsukayama, Hiroyuki
Department of Surgery, Japanese Red Cross Kobe Hospital
Kubota, Nobuhito
Department of Surgery, Japanese Red Cross Kobe Hospital
Okumoto, Tatsuo
Department of Surgery, Japanese Red Cross Kobe Hospital
Ishido, Nobuhiro
Department of Surgery, Japanese Red Cross Kobe Hospital
Okino, Takeshi
Department of Pathology, Japanese Red Cross Kobe Hospital
A 35-year-old man was referred to our hospital for chronic abdominal pain and diarrhea. Computed tomography showed wall thickening, poor contrast enhancement and calcification of the ascending colon, which were consistent with phlebosclerotic colitis. Malignant character was not detected from a biopsy specimen. Operatively, we observed a scirrhous mass of the ascending colon invading surrounding tissue, which was diagnosed as signet ring cell carcinoma based on analysis of an intraoperative frozen section. Right hemicolectomy with regional lymph node dissection was performed. This case was extremely similar to phlebosclerotic colitis in clinical findings; surgical resection was required for correct diagnosis.
phlebosclerotic colitis
colorectal cancer
signet ring cell carcinoma
young colorectal cancer
