Metachronous colorectal adenocarcinoma at colostomy site 14 years after primary resection

Correspondence to Mr David Edward Kearney; dkearnage@gmail.com Description A 65-year-old woman heavy smoker presented to the emergency department with a productive cough and malaise on a background history of Chronic Obstructive Pulmonary Disease, poorly controlled type II diabetes mellitus, and malnutrition. 14 years prior to admission she underwent an abdominoperineal excision for a T3 N1 adenocarcinoma of the lower rectum, followed adjuvant chemotherapy. 11 years prior to admission a solitary metastasis was identified in segment 7 of her liver. Contributors PDMcE, PHMcC and DEK all contributed equally to the data collection, writing, editing and approval of the final version of the manuscript. New and recurrent colorectal cancers after resection: a systematic review and meta-analysis of endoscopic surveillance studies.