A case of obstructive colitis in a patient with colon carcinoma similar to linitis plastica colon carcinoma

Abstract

An 81-year-old female was hospitalized for anemia and constipation. Her anemia was severe (Hb 6.2g/dl), and tumor marker CEA increased (18.2ng/ml). A Ba enema roentogenograph showed long-drawn stenosis like an apple-core sign from the sigmoid colon to the descending colon. Colonoendoscopy showed stenosis in the sigmoid colon. The result of biopsy was Group V poorly differentiated adenocarcinoma, so we diagnosed linitis plastica colon carcinoma. Left segmental colon resection and Hartmann method resection were performed. The resected colonic section showed Borrmann 3 type colon carcinoma on the anal side and stricture type obstructive colitts on the oral side. Obstructive colitis lesion, severe stenosis, and multiple longitudinal ulcer were also evident. This was a rare case that some reference suggested occurs in 3 to 5% of all colon carcinoma. When we encounter similar cases, we should pay careful attention to the diagnosis. © 1991, The Showa University Society. All rights reserved.