Adenocarcinoma de colon sigmoide metastásico en paciente joven, presentación atípica: reporte de caso

  • Kevin Maldonado-Cañón Hospital Universitario Nacional de Colombia, Bogotá, D.C., Colombia.
  • Edgar Alberto Carmona Gómez Hospital Universitario Nacional de Colombia, Bogotá, Colombia
Palabras clave: neoplasias del colon, neoplasias colorrectales, perforación intestinal, peritonitis, metástasis de la neoplasia, adulto joven

Resumen

El adenocarcinoma colorrectal es la tercera causa de muerte por cáncer en mujeres y la cuarta en hombres a nivel mundial. Se diagnostica en su mayoría en pacientes mayores a los 50 años, siendo la edad media al momento del diagnóstico los 72 años. A pesar eso, se estima que en los próximos años aumentará la incidencia en personas jóvenes y de mediana edad. Debido a esta proyección y considerando que la ausencia de signos y síntomas específicos no permite un diagnóstico oportuno, se hacen necesarias la sensibilización clínica y un alto índice de sospecha en las presentaciones atípicas. Se presenta el caso de una paciente joven que consulta por un cuadro de un mes de síntomas respiratorios quien, después de tratamiento antibiótico, antiviral e inmunomodulador sistémico, presenta sepsis de origen abdominal por peritonitis de cuatro cuadrantes secundaria a perforación de colon sigmoide debida a adenocarcinoma bien diferenciado, metastásico a pulmón, que la llevó a la muerte.

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Biografía del autor/a

Kevin Maldonado-Cañón, Hospital Universitario Nacional de Colombia, Bogotá, D.C., Colombia.

Médico general, Hospital Universitario Nacional de Colombia, Bogotá, D.C., Colombia.

Edgar Alberto Carmona Gómez, Hospital Universitario Nacional de Colombia, Bogotá, Colombia

Médico, especialista en Cirugía general y Cirugía de tórax, Hospital Universitario Nacional de Colombia, Bogotá, D.C., Colombia.

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Publicado
2021-03-09
Cómo citar
(1)
Maldonado Cañón, K.; Carmona Gómez, E. A. Adenocarcinoma De Colon Sigmoide metastásico En Paciente Joven, presentación atípica: Reporte De Caso. Rev Colomb Cir 2021, 36, 358-365.
Sección
Presentación de Caso
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