Abstract

PEREZ ASSEF, Jorge José; SORI PENA, Juan Antonio  and  PEREZ DE CORCHO RODRIGUEZ, Manuel Agustín. Sigmoid colon pseudotumor. Rev cubana med [online]. 2018, vol.57, n.4, e408.  Epub Dec 02, 2018. ISSN 0034-7523.

Numerous clinical diseases can affect the colon structure or normal functioning. Tumors, inflammatory and infectious processes and physiological or mechanical disorders of that organ are increasingly frequent. We report the case of a male patient, white, 45 years old, who 10 months earlier began with colicky pain in the upper left hemiabdomen. This pain gradually shifted to the flank and iliac fossa on that side, becoming moderately intense, intermittent, without prandial relation, accompanied by aerocolia, constipation that alternated with soft stools with phlegm and weight loss of approximately 8 pounds. During this time, his health gradually worsened, which is why he requests medical attention. Endoscopic procedures and imaging studies were performed. Sigmoid carcinoma was detected. An exploratory laparotomy was performed with excision of the organ and a granulomatous formation was confirmed, which upon opening revealed a foreign body with fibrous tissue and angiogenesis. It is essential to perform a meticulous anamnesis including the possible ingestion of a foreign body to all patients who request medical assistance due to low digestive manifestations of long time of evolution and whose physical examination confirms an inflammatory or tumoral mass in the colon, even more in its left part, or to those presenting obstructive manifestations.

Keywords : Sigmoid colon; strange bodies; sigmoid carcinoma.