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Báo cáo khoa học: "Colonoscopy is mandatory after Streptococcus bovis endocarditis: a lesson still not learned. Case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Colonoscopy is mandatory after Streptococcus bovis endocarditis: a lesson still not learned. Case report | World Journal of Surgical Oncology BioMed Central Open Access Case report Colonoscopy is mandatory after Streptococcus bovis endocarditis a lesson still not learned. Case report Alberta Ferrari Ivan Botrugno Elisa Bombelli Tommaso Dominioni Emma Cavazzi and Paolo Dionigi Address Department of Surgery University of Pavia Istituto di Chirurgia Epatopancreatica Fondazione IRCCS Policlinico San Matteo Pavia Italy Email Alberta Ferrari - albertaferrari@libero.it Ivan Botrugno - albertaferrari@libero.it Elisa Bombelli - elisa.bombelli@libero.it Tommaso Dominioni - tommasodominioni@hotmail.com Emma Cavazzi - emma.cvz@libero.it Paolo Dionigi - p.dionigi@smatteo.pv.it Corresponding author Published 12 May 2008 Received 8 January 2008 World Journal of Surgical Oncology 2008 6 49 doi l0.ll86 l477-78l 9-6-49 Accepted 12 May 2008 This article is available from http www.wjso.cOm content 6 l 49 2008 Ferrari et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Even though the relationship between certain bacterial infections and neoplastic lesions of the colon is well-recognized this knowledge has not been sufficiently translated into routine practice yet. Case presentation We describe the case of a 5l-year-old man who was admitted to our Surgical Department due to rectal bleeding and abdominal pain. Preoperative colonoscopy staging exams and subsequent surgery demonstrated a stenotic adenocarcinoma of the sigmoid colon invading the left urinary tract and the homolateral bladder wall with regional lymph nodes involvement and massive bilobar liver metastases T4N1M1 . After Hartmann s rectosigmoidectomy and despite systemic chemotherapy a rapid progression occurred and the patient survived for only 5 months after .