A Rare Case Report: 23-Year-Old Man with Ascending Colon Cancer with Napkin’s Ring Appearance

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Dwi Novia Lestari
Faculty of Medicine, Tarumanagara University, Jakarta
Mohammad Arifin
Department of Surgery, RSUD RAA Soewondo Pati, Pati, Idonesia

Colorectal cancer is a malignancy of the large intestine resulting from changes in the colon epithelial cells. Although incidence rates in developed countries have decreased due to improved screening and treatment, colorectal cancer remains a leading cause of cancer-related deaths globally. In Indonesia, colorectal cancer ranks as the third most common type, with a notably higher incidence among younger populations compared to developed nations. This case report focuses on a rare instance of ascending colon cancer in a 23-year-old man, a demographic less commonly affected by this condition. The purpose of this case report is to highlight the atypical presentation and management of colon cancer in a young adult, providing insights into diagnostic and therapeutic approaches in this context. The case was selected to underscore the differences in colorectal cancer presentation and management in younger patients, contrasting with more typical cases. The main findings include the patient’s initial presentation with ascension colon cancer, the intervention of right hemicolectomy, and the subsequent significant improvement in his condition following treatment. This case emphasizes the importance of considering colorectal cancer in young patients presenting with gastrointestinal symptoms and highlights the need for awareness and timely intervention to improve outcomes. It suggests that even rare cases of colorectal cancer in younger individuals can be effectively managed with appropriate surgical and pharmacological therapy.


Keywords: Colorectal Cancer, Napkin’s Ring, Laparotomy, Hemicolectomy
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