6533b82bfe1ef96bd128d6c5

RESEARCH PRODUCT

Clinical Cases on Colorectal Cancer Emergency

C. PennaSolafah AbdallaPietro Genova

subject

medicine.medical_specialtyAbdominal painclinical caseConstipationbusiness.industryWarfarinmedicine.diseaseColorectal cancer emergencyPulmonary embolismSurgerySettore MED/18 - Chirurgia GeneraleHemorrhoidsmedicineMedical historyChillsmedicine.symptombusinessAbdominal surgerymedicine.drug

description

You have to manage in the emergency room a 75-year-old man with a medical history of pulmonary embolism 4 months ago and currently treated with warfarin. He has no history of abdominal surgery. He consults for diffuse abdominal pain, cessation of flatus and stools for 4 days, and fever of 38.7 °C and chills for 24 h. He vomited once 24 h ago. He also experienced asthenia and recent weight loss of 7 kg over the past 6 months not attributable to diet or exercise. He complains of progressively aggravating alternation of diarrhea and constipation for 3 months. He finally remembers that he noticed several times in the last months the presence of red blood in the stools, about which he did not worried because he thought it came from the hemorrhoids.

https://doi.org/10.1007/978-3-030-06225-5_28