Synchronous triple colon cancer case report and literature review

Synchronousmultiplecolorectal cancers are defined as multiple malignant tumors of the colon and rectum, occur simultaneously, are distant from each other and are not a result of metastasis. We present a case of a 76 years old male who was admitted to our hospital complaining of diffuse, mild abdominal pain started a month ago, associated with diarrhea, fatigue and body weight loss. Computer tomography revealed a mass at the splenic flexure. Colonoscopy confirmed the finding of the tumor at the splenic flexure obstructing the lumen of the colon, not allowing the examination to be completed. Furthermore, a second tumor was found at the boundary between descending and sigmoid colon, narrowing the lumen at approximately 75%. Virtual colonography under CT reconstruction illustrated the previous two lesions and revealed an additionally mass at the hepatic flexure. The patient underwent an exploratory laparotomy the day after and all the above findings were confirmed intraoperatively for which he received a successful extended colectomy.