Hartmann’s anterior resection procedure in the management of colorectal cancer in an adolescent female- A rare clinical encounter

Most abdominal symptoms investigated play a crucial role in identifying colorectal cancer (CRC). However, the CRC diagnosis in children is often delayed until it reaches an advanced stage, primarily because the nonspecific symptoms mimic other gastrointestinal disorders, leading to delayed identification. In this report, we presented the case of a young patient diagnosed with a rare instance of CRC after undergoing Hartmann’s procedure surgery. A 14-year-old female presented with bloating one month prior to hospital admission. She felt her stomach was full, with any complaints of a mass in the abdomen or other body parts. She experienced obstipation for two months, with defecation occurring gradually, once a day, sometimes slimy, and a decreased appetite with no vomiting. Upon examination, the abdomen was found to be distended, and there was a palpable solid extraluminal mass without bleeding during digital rectal examination. Abdominal X-ray revealed small and large bowel dilatation, raising suspicion of total bowel obstruction. Abdominal mass was confirmed on abdominal computed tomography (CT). Emergency exploratory laparotomy was performed, and we opted for an anterior resection with Hartmann’s procedure for the rectum above the affected site, followed by colostomy and omentectomy. The patient recovered well after the surgery. Single cases of CRC in young adults are described in the literature, with successful surgical outcomes and no complications reported. This study emphasizes the importance of early diagnosis and management to reduce morbidity and mortality.