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>Journals >Cirugía y Cirujanos >Year 2010, Issue 1

Candia-de la Rosa RF, Candia-García R, Pérez-Martínez MC
Obstrucción intestinal por cuerpo extraño en paciente con adenocarcinoma de colon. Informe de un caso
Cir Cir 2010; 78 (1)

Language: Español
References: 14
Page: 87-91
PDF: 251.50 Kb.

Full text


Background: Approximately one million new cases of colorectal cancer are detected worldwide, causing about one million deaths per year. In Mexico it is the second most common gastrointestinal malignancy, after stomach cancer. The 5-year survival in early stages is ›90%. This condition is accidentally diagnosed by the general surgeon in many cases because ingestion of foreign bodies is a not uncommon condition in adults, reported more frequently in older people because of their dentures. One complication of ingestion of any foreign body is intestinal obstruction. The aim of this study is to analyze management of colon cancer diagnosed incidentally by the general surgeon.
Clinical case: We report the case of a 74-year-old male who accidentally swallowed his dentures while eating. After 72 h of admission to our emergency department, his clinical diagnosis was acute abdomen due to intestinal obstruction. Laparotomy was performed and revealed a stenosing mass in the left colon where the dentures were located. Pathology later reported a left colon adenocarcinoma staged as Dukes A. The patient evolved satisfactorily and is currently at 5 years without tumor activity.
Conclusions: It would be useful for surgeons who are faced with an intestinal obstruction due to the accidental ingestion of a foreign body in an adult to always suspect stenosis for possible malignancy.

Key words: Foreign body, digestive tract, adenocarcinoma, colon.


  1. Vardaki E, Maniatis V, Chrisikopoulos H, Papadopoulos, Roussakis A, Kavadias S, et al. Sigmoid carcinoma incidentally discovered after perforation caused by an ingested chicken bone. Am J Roentgenol 2001;176:153-154.

  2. Kountouras J, Chatzopoulos D, Zavos Ch, Kouklakis G, Vrettos M. Perforation of midpart of ileum caused by entrapment of a large, wide foreign body. Ann Gastroenterol 2001;14:329-332.

  3. Belmontes-Montes C, Cosme-Reyes C. Tratamiento del cáncer de colon y seguimiento. Rev Gastroenterol Mex 2007;72:122-125.

  4. Nogueira-de Rojas JR, Huerta-Iga F, López-Colombo A, Huerta-Guerrero H, Salazar-Correa LE, Madrid-Franco JR, et al. Guías clínicas de diagnóstico y tratamiento del carcinoma de colon y recto. Generalidades. Rev Gastroenterol Mex 2003;68:114-117.

  5. Vinageras-Barroso JI, Cáncer de colon. Rev Gastroenterol Mex 2008;73(suppl 1):96-99.

  6. Charúa-Guindic L, Lagunas-Gasca AA, Villanueva-Herrero JA, Jiménez-Bobadilla B, Avendaño-Espinoza O, Charúa-Levy E. Comportamiento epidemiológico del cáncer de colon y recto en el Hospital General de México. Análisis de 20 años: 1988-2007. Rev Gastroenterol Mex 2009;74:99-104.

  7. Torres-Zavala NM, Yan-Quiroz EF, Díaz-Plasencia JA, Burgos- Chávez OA. Factores pronósticos de sobreviva en cáncer colorrectal resecable obstructivo y no obstructivo. Rev Gastroenterol Peru 2006;26:363-372.

  8. Skibeer JM, Minsky BD, Hoff PM. Cancer of the colon. In: DeVita VT Jr, Hellman S, Rosenberg SA, editors. Cancer Principles and Practice of Oncology. Philadelphia: Lippincott Williams and Wilkins; 2001. pp. 1216-1271.

  9. Colon and Rectum in American Joint Committee on Cancer Staging Manual. Springer: New York; 2006; pp. 113-124.

  10. O’Connell JB, Maggard MA, Ko CY. Colon cancer survival rates with the new American Joint Committee on Cancer. 6th ed. Staging. J Natl Cancer Inst 2004;96:1420-1425.

  11. Rossi H, Rothenberger DA. Surgical treatment of colon cancer. Sur Oncol Clin North Am 2006;15:109-127.

  12. Cervantes J, Rojas Reyna GA, Chaparro González JM. Conducta del cirujano ante hallazgos quirúrgicos inesperados. Bol AMCG 2008;XIV:1-10.

  13. Chien-Yu T, Chia-Chang H, Seng-Kee C, King-Wah C, Chi-Sin C. Endoscopic removal of a dental prosthesis in the hepatic flexure of the colon. Chang Gung Med J 2003;26:843-846.

  14. Hidalgo L. Generalidades de radiología. En: Duque-Ramírez LG, Rubio-Vanegas H, eds. Semiología Médica Integral. Colombia: Universidad de Antioquía; 2006. pp. 51-64.

>Journals >Cirugía y Cirujanos >Year 2010, Issue 1

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