Colonic Carcinoma : A Case Report in a Child and Review Literature

NUTHAPONG UKARAPOL, M.D.*, LUMDUAN WONGSAWASDI, M.D.*, JESDA SINGHA VEJSAKUL, M.D.**

Affiliation : * Department of Pediatrics, Faculty of Medicine, Chiang Mai University, ** Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.

AbstractThis article reports one case of child colonic carcinoma. This is a rare disease in children which usually occurs in predisposing conditions, e.g. ulcerative colitis, familial polyposis coli, Gardner's syndrome, Turcot's syndrome and Peutz-Jegher's syndrome. The patient in this report was 12 years old. He presented with chronic intermittent colicky abdominal pain and uncor- rectable iron deficiency anemia for 7 months prior to definite diagnosis. This report also reviews the literature about colorectal carcinoma in children. Physicians can make an early diagnosis with a high index of suspicion if they cannot explain clearly what causes abdominal pain. Further investigations should be performed, thereby, avoiding delayed diagnosis and improving survival rate.

Keywords : Colonic Carcinoma, Children, Abdominal Pain, Anemia

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