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To present and analyze a rare case of synchronous adenocarcinomas presenting atypically in a young individual.

April 16, 2026CureusOpen Access

Synchronous Primary Adenocarcinomas of the Hepatic and Splenic Flexures Presenting as Acute Large Bowel Obstruction in a 38-Year-Old Man: A Case Report

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To present and analyze a rare case of synchronous adenocarcinomas presenting atypically in a young individual.
Descriptive case report of a patient with acute large bowel obstruction.
Utilization of computed tomography for diagnosis and imaging.
Surgical intervention with exploratory laparotomy and subtotal colectomy.
Histopathologic evaluation of tumors and immunohistochemistry for assessment.
Two synchronous adenocarcinomas identified in the hepatic and splenic flexures.
Histopathology confirmed grade 2 adenocarcinomas with negative lymphovascular invasion.
Postoperative carcinoembryonic antigen levels were normal and no lymph node metastasis was found.

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Case report reveals two synchronous colorectal tumors causing obstruction in a young man, emphasizing diagnostic challenges.

Gill et al. (2026) studied this question.

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