Open AccessColorectal Cancer in Patient with Functional Gastrointestinal Symptoms
Author(s) -
З. А. Мамиева,
Elena Poluektova,
А. Л. Ковалева,
О. С. Шифрин,
В. П. Соболев,
В. М. Свистушкин,
A. I. Ulyanin,
А. С. Тертычный,
В. Т. Ивашкин
Publication year - 2022
Publication title -
rossijskij žurnal gastroènterologii, gepatologii, koloproktologii
Language(s) - English
Resource type - Journals
eISSN - 2658-6673
pISSN - 1382-4376
DOI - 10.22416/1382-4376-2021-31-5-66-73
Subject(s) - medicine , colonoscopy , colorectal cancer , gastrointestinal cancer , abdominal pain , irritable bowel syndrome , outpatient clinic , defecation , gastroenterology , physical examination , functional gastrointestinal disorder , abdominal ultrasound , cancer
Aim . A clinical observation to highlight the importance of detailed examination in patients with functional gastrointestinal symptoms. Key points . A 28-yo female patient was admitted with complains of left ileal pain, abdominal distention and up to 4-day stool delay. The complaints had long been interpreted as clinical manifestations of irritable bowel syndrome. No significant abnormalities were revealed in outpatient check-up (general and biochemical blood panels, stool test, abdominal ultrasound, oesophagogastroduodenoscopy). Colonoscopy was performed on admission, with diagnosis of rectal adenocarcinoma. The patient had a prompt surgical intervention, repeated courses of polychemotherapy and is currently followed by an oncologist and coloproctologist. No relapse signs have been reported. Conclusion . Patients with the complaints satisfying the Rome Criteria Revision IV for functional gastrointestinal diseases should have a thorough examination as per recommendations of the Russian Gastroenterological Association and Russian Association of Coloproctologists.