Clostridium septicum aortitis with synchronous ascending colon and rectal adenocarcinoma.

Authors

Deepanshu Jain, Albert Einstein Medical Center
Andrew C. Kistler, Thomas Jefferson UniversityFollow
Patricia L. Kozuch, Thomas Jefferson UniversityFollow

Document Type

Article

Publication Date

3-28-2017

Comments

This article has been peer reviewed. It is the author’s final published version in Annals of Gastroenterology

Volume 30, Issue 4, March 2017, Pages 468-470..

The published version is available at DOI: 10.20524/aog.2017.0140. Copyright © Hellenic Society of Gastroenterology

Abstract

Clostridium septicum (C. septicum) aortitis is a rare condition frequently associated with colon adenocarcinoma and carries a poor prognosis. We report the case of a 66-year-old man who presented with abdominal pain, blood in the stool, fever and chills. Laboratory tests were significant for leukocytosis and microcytic anemia. Abdominal imaging revealed a right colon mass and aortitis. Colonoscopy confirmed the right colon mass and also discovered a rectal mass, both adenocarcinomas. Treatment consisted of antibiotics, aortic repair, right hemi-colectomy and later trans-anal excision of the rectal mass. Blood cultures and the aortic specimen grew C. septicum. The patient improved and was doing well in follow up.

Recommended Citation

Jain, Deepanshu; Kistler, Andrew C.; and Kozuch, Patricia L., "Clostridium septicum aortitis with synchronous ascending colon and rectal adenocarcinoma." (2017). Division of Gastroenterology and Hepatology Faculty Papers. Paper 43.
https://jdc.jefferson.edu/gastro_hepfp/43

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 3.0 License.

PubMed ID

28655990