Laparoscopic surgery for synchronous double colorectal cancer with obstruction, plus small B cell lymphoma: a case report

Synchronous colorectal cancer is a rare disease. It remains challenging for diagnosis and treatment. This paper reports a case of a 75-year-old Chinese male patient presenting with intestinal obstruction, alongside primary thrombocytopenia and a diagnosis of small B-cell lymphoma. Computed tomography scans revealed space-occupying lesions in both the sigmoid colon and ascending colon. The patient initially underwent a transverse colostomy procedure to alleviate the intestinal obstruction and then underwent laparoscopic radical tumor resection. The patient exhibited favorable prognosis and maintained satisfactory bowel function at the nearly 8 months' postoperative follow-up. Multiple colonoscopies are crucial in the management of synchronous colorectal cancer, and radical surgical resection remains the sole curative option when surgical intervention is deemed tolerable. A thorough preoperative examination and evaluation are crucial for successful surgery. The selection of surgical procedures for synchronous colorectal cancer should be based on the patient's medical condition.