Unusual case of anorexia

We report the case of a 15-year-old female patient suffering from progressive anorexia, weight loss and recurrent abdominal pain, initially diagnosed as anorexia nervosa. She eventually presented with severe malnutrition and acute bowel obstruction, revealing a mass of the transverse colon. A well-d...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2018-06, Vol.2018, p.bcr-2017-223739
Main Authors: Darmaun, Laura, Aubry, Estelle, Lejeune, Sophie, Sudour-Bonnange, Helene
Format: Article
Language:English
Subjects:
Abdomen
Age
Anorexia
Case reports
Chemotherapy
Colonoscopy
Colorectal cancer
Constipation
Localization
Lymphatic system
Metastasis
Pain
Patients
Pediatrics
Teenagers
Tumors
Ultrasonic imaging
Unusual Association of Diseases/Symptoms
Vomiting
Young adults
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-b3259-cee354717c512b29104b04bcbff69d9966f1f03381ad5f35ee26201e7e7c0d033
container_end_page
container_issue
container_start_page bcr-2017-223739
container_title BMJ case reports
container_volume 2018
creator Darmaun, Laura
Aubry, Estelle
Lejeune, Sophie
Sudour-Bonnange, Helene
description We report the case of a 15-year-old female patient suffering from progressive anorexia, weight loss and recurrent abdominal pain, initially diagnosed as anorexia nervosa. She eventually presented with severe malnutrition and acute bowel obstruction, revealing a mass of the transverse colon. A well-differentiated Lieberkühn adenocarcinoma was established by histology. The patient underwent transverse and right colectomy and was treated with adjuvant chemotherapy. Colorectal cancer (CRC) is predominantly a disease of older adults and is extremely rare in children and adolescents. Seldom suspected, it is more likely to be diagnosed at an advanced stage, with unfavourable tumour histology and poor outcome. Young patients diagnosed with CRC should receive genetic counselling regardless of their family history or tumour type. This reports’ take-home message is that recurrent and persistent digestive symptoms in the young should alert physicians and lead to further investigations.
doi_str_mv 10.1136/bcr-2017-223739
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5990079</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2049794833</sourcerecordid><originalsourceid>FETCH-LOGICAL-b3259-cee354717c512b29104b04bcbff69d9966f1f03381ad5f35ee26201e7e7c0d033</originalsourceid><addsrcrecordid>eNqFkM1LAzEQxYMottSe9SQFLyKszXc2F0GKX1DwYsFbyGYT3bK7qUlX9L83ZatUL4aBDMxvHm8eAMcIXiJE-LQwIcMQiQxjIojcA0MkmMiEhM_7O_0AjGNcwvQIojklh2CAZc45F3AIThZtFztdT4yOduLdRLc-2I9KH4EDp-tox9t_BBa3N0-z-2z-ePcwu55nBcFMZsZawqhAwjCECywRpEUqUzjHZSkl5w45SEiOdMkcYdZinjxbYYWBZRqMwFWvu-qKxpbGtuuga7UKVaPDp_K6Ur8nbfWqXvy7YlJCKGQSON8KBP_W2bhWTRWNrWvdWt9FhSGDNBeEioSe_UGXvgttOi9RVApJc7JxNO0pE3yMwbofMwiqTfAqBa82was--LRxunvDD_8dcwIueqBolv-qfQEoD4lZ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2049794833</pqid></control><display><type>article</type><title>Unusual case of anorexia</title><source>PubMed Central</source><creator>Darmaun, Laura ; Aubry, Estelle ; Lejeune, Sophie ; Sudour-Bonnange, Helene</creator><creatorcontrib>Darmaun, Laura ; Aubry, Estelle ; Lejeune, Sophie ; Sudour-Bonnange, Helene</creatorcontrib><description>We report the case of a 15-year-old female patient suffering from progressive anorexia, weight loss and recurrent abdominal pain, initially diagnosed as anorexia nervosa. She eventually presented with severe malnutrition and acute bowel obstruction, revealing a mass of the transverse colon. A well-differentiated Lieberkühn adenocarcinoma was established by histology. The patient underwent transverse and right colectomy and was treated with adjuvant chemotherapy. Colorectal cancer (CRC) is predominantly a disease of older adults and is extremely rare in children and adolescents. Seldom suspected, it is more likely to be diagnosed at an advanced stage, with unfavourable tumour histology and poor outcome. Young patients diagnosed with CRC should receive genetic counselling regardless of their family history or tumour type. This reports’ take-home message is that recurrent and persistent digestive symptoms in the young should alert physicians and lead to further investigations.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2017-223739</identifier><identifier>PMID: 29866670</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Age ; Anorexia ; Case reports ; Chemotherapy ; Colonoscopy ; Colorectal cancer ; Constipation ; Localization ; Lymphatic system ; Metastasis ; Pain ; Patients ; Pediatrics ; Teenagers ; Tumors ; Ultrasonic imaging ; Unusual Association of Diseases/Symptoms ; Vomiting ; Young adults</subject><ispartof>BMJ case reports, 2018-06, Vol.2018, p.bcr-2017-223739</ispartof><rights>BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>Copyright: 2018 © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b3259-cee354717c512b29104b04bcbff69d9966f1f03381ad5f35ee26201e7e7c0d033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990079/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990079/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29866670$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Darmaun, Laura</creatorcontrib><creatorcontrib>Aubry, Estelle</creatorcontrib><creatorcontrib>Lejeune, Sophie</creatorcontrib><creatorcontrib>Sudour-Bonnange, Helene</creatorcontrib><title>Unusual case of anorexia</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>We report the case of a 15-year-old female patient suffering from progressive anorexia, weight loss and recurrent abdominal pain, initially diagnosed as anorexia nervosa. She eventually presented with severe malnutrition and acute bowel obstruction, revealing a mass of the transverse colon. A well-differentiated Lieberkühn adenocarcinoma was established by histology. The patient underwent transverse and right colectomy and was treated with adjuvant chemotherapy. Colorectal cancer (CRC) is predominantly a disease of older adults and is extremely rare in children and adolescents. Seldom suspected, it is more likely to be diagnosed at an advanced stage, with unfavourable tumour histology and poor outcome. Young patients diagnosed with CRC should receive genetic counselling regardless of their family history or tumour type. This reports’ take-home message is that recurrent and persistent digestive symptoms in the young should alert physicians and lead to further investigations.</description><subject>Abdomen</subject><subject>Age</subject><subject>Anorexia</subject><subject>Case reports</subject><subject>Chemotherapy</subject><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Constipation</subject><subject>Localization</subject><subject>Lymphatic system</subject><subject>Metastasis</subject><subject>Pain</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Teenagers</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><subject>Unusual Association of Diseases/Symptoms</subject><subject>Vomiting</subject><subject>Young adults</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqFkM1LAzEQxYMottSe9SQFLyKszXc2F0GKX1DwYsFbyGYT3bK7qUlX9L83ZatUL4aBDMxvHm8eAMcIXiJE-LQwIcMQiQxjIojcA0MkmMiEhM_7O_0AjGNcwvQIojklh2CAZc45F3AIThZtFztdT4yOduLdRLc-2I9KH4EDp-tox9t_BBa3N0-z-2z-ePcwu55nBcFMZsZawqhAwjCECywRpEUqUzjHZSkl5w45SEiOdMkcYdZinjxbYYWBZRqMwFWvu-qKxpbGtuuga7UKVaPDp_K6Ur8nbfWqXvy7YlJCKGQSON8KBP_W2bhWTRWNrWvdWt9FhSGDNBeEioSe_UGXvgttOi9RVApJc7JxNO0pE3yMwbofMwiqTfAqBa82was--LRxunvDD_8dcwIueqBolv-qfQEoD4lZ</recordid><startdate>20180604</startdate><enddate>20180604</enddate><creator>Darmaun, Laura</creator><creator>Aubry, Estelle</creator><creator>Lejeune, Sophie</creator><creator>Sudour-Bonnange, Helene</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180604</creationdate><title>Unusual case of anorexia</title><author>Darmaun, Laura ; Aubry, Estelle ; Lejeune, Sophie ; Sudour-Bonnange, Helene</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b3259-cee354717c512b29104b04bcbff69d9966f1f03381ad5f35ee26201e7e7c0d033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abdomen</topic><topic>Age</topic><topic>Anorexia</topic><topic>Case reports</topic><topic>Chemotherapy</topic><topic>Colonoscopy</topic><topic>Colorectal cancer</topic><topic>Constipation</topic><topic>Localization</topic><topic>Lymphatic system</topic><topic>Metastasis</topic><topic>Pain</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Teenagers</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><topic>Unusual Association of Diseases/Symptoms</topic><topic>Vomiting</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Darmaun, Laura</creatorcontrib><creatorcontrib>Aubry, Estelle</creatorcontrib><creatorcontrib>Lejeune, Sophie</creatorcontrib><creatorcontrib>Sudour-Bonnange, Helene</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Darmaun, Laura</au><au>Aubry, Estelle</au><au>Lejeune, Sophie</au><au>Sudour-Bonnange, Helene</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unusual case of anorexia</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2018-06-04</date><risdate>2018</risdate><volume>2018</volume><spage>bcr-2017-223739</spage><pages>bcr-2017-223739-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>We report the case of a 15-year-old female patient suffering from progressive anorexia, weight loss and recurrent abdominal pain, initially diagnosed as anorexia nervosa. She eventually presented with severe malnutrition and acute bowel obstruction, revealing a mass of the transverse colon. A well-differentiated Lieberkühn adenocarcinoma was established by histology. The patient underwent transverse and right colectomy and was treated with adjuvant chemotherapy. Colorectal cancer (CRC) is predominantly a disease of older adults and is extremely rare in children and adolescents. Seldom suspected, it is more likely to be diagnosed at an advanced stage, with unfavourable tumour histology and poor outcome. Young patients diagnosed with CRC should receive genetic counselling regardless of their family history or tumour type. This reports’ take-home message is that recurrent and persistent digestive symptoms in the young should alert physicians and lead to further investigations.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>29866670</pmid><doi>10.1136/bcr-2017-223739</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1757-790X
ispartof BMJ case reports, 2018-06, Vol.2018, p.bcr-2017-223739
issn 1757-790X
1757-790X
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5990079
source PubMed Central
subjects Abdomen
Age
Anorexia
Case reports
Chemotherapy
Colonoscopy
Colorectal cancer
Constipation
Localization
Lymphatic system
Metastasis
Pain
Patients
Pediatrics
Teenagers
Tumors
Ultrasonic imaging
Unusual Association of Diseases/Symptoms
Vomiting
Young adults
title Unusual case of anorexia
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T12%3A00%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Unusual%20case%20of%20anorexia&rft.jtitle=BMJ%20case%20reports&rft.au=Darmaun,%20Laura&rft.date=2018-06-04&rft.volume=2018&rft.spage=bcr-2017-223739&rft.pages=bcr-2017-223739-&rft.issn=1757-790X&rft.eissn=1757-790X&rft_id=info:doi/10.1136/bcr-2017-223739&rft_dat=%3Cproquest_pubme%3E2049794833%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-b3259-cee354717c512b29104b04bcbff69d9966f1f03381ad5f35ee26201e7e7c0d033%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2049794833&rft_id=info:pmid/29866670&rfr_iscdi=true