Abstract
Although colon cancer in adults under 19 years old is very rare, it is of major interest because its prognosis is poor.
A 15-year-old boy was admitted with the chief complaint of epigastric pain and vomiting. Under the diagnosis of appendicitis and ileus, and operation was performed.
During the operation, a mass like a French Nut was palpated on the transverse colon 3cm anal to the right flexure, and the colon oral to the mass lesion was clearly dilated.
Carcinoma of the colon may have caused the ileus.
Among 66 cases of carcinoma of the colon in adults under 19 years old reported in Japan, in only 29 cases was the correct diagnosis made preoperatively.
Early diagnosis and surgery are the cue to obtaining good results and careful preoperative and intraoperative examinaiton is required for cases of the colon disease even in young adults.