A Case of Adenomatosis Coli Associated with Adrenocortical Carcinoma

Kazuhiro Mori, Akio Yamaguchi, Nagayoshi Oota, Yoshiyuki Kurosaka, Tetsuya Ishida, Shigeru Takegawa, Kazuhisa Yabushita, Gennichi Nishimura, Takeo Kosaka, Itsuo Miyazaki, Masaharu Furutani¹⁾, Takeo Tanaka¹⁾

Department of Surgery II, Kanazawa University, School of Medicine
Department of Surgery, Fukui Red Cross Hospital¹⁾

We experienced a case of adenomatosis coli complicated with adrenocortical carcinoma. The patient was a 19-year-old man with epigastralgia as the chief complaint. In April 1987, right adrenectomy was performed under the diagnosis of a right adrenal tumor, and the diagnosis was established as benign adrenocortical adenoma. In June, a reoperation was performed for intraperitoneal relapse of the right adrenal tumor. In July, the patient was hosptalized for the third operation. On August 16, laparotomy was performed under the diagnosis of Gardner's syndrome and hepatic metastasis of the adrenal carcinoma. Foci of the relapse in the right subdiaphragmatic, caudate lobar and right adrenal local regions were resected and then total colectomy and ileocolostomy were performed. Histological examination confirmed the diagnosis as intraperitoneal relapse of adrenal carcinoma. Six months postoperatively, the patient died of a relapse adrenal carcinoma. The complication of adenomatosis coli by adrenal carcinoma has been reported only twice in the literature. It is so rare that we felt that we should report the present case, which seems to be the third.

Key words
adenomatosis coli, Gardner's syndrome, adrenocortical carcinoma

Reprint requests
Kazuhiro Mori The Second Department of Surgery ll, Kanazawa University School of Medicine 13-1 Takara-machi, Kanazawa, 920 JAPAN

Accepted
December 13, 1989

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