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International Journal of Surgical Oncology
Volume 2013, Article ID 309439, 7 pages
Review Article

Strategies to Evaluate Synchronous Carcinomas of the Colon and Rectum in Patients That Present for Emergent Surgery

Department of Surgery, Albert Einstein College of Medicine, Beth Israel Medical Center, 10 Union Square East, Suite 2M, New York, NY 10003, USA

Received 3 September 2012; Revised 10 January 2013; Accepted 10 January 2013

Academic Editor: S. Curley

Copyright © 2013 Jennifer L. Agnew et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


It is not always possible to evaluate patients that present acutely with carcinoma of the colon and rectum for synchronous lesions. Patients that require emergent surgery necessitate urgent and efficient operation. Patients with lower gastrointestinal bleeding, perforation, or obstruction represent a challenging subset of patients with colorectal cancer. An organized approach to these patients in the effort not to overlook a synchronous carcinoma is important. The present paper provides an evidenced-based approach to this special situation.