A 15-year-old Nepali boy with metastasised colorectal cancer

Chloe Pinto, Zvi Howard Perry

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Nepal suffers from vast inequalities in modern healthcare. The low-income country wrestles with far-reaching insufficiencies in minimal preventative medicine, health awareness, limited infrastructure and difficult topography-all of which contribute to poor access and poor care-seeking behaviour. Our patient came from rural Nepal, where primary healthcare outposts are frequently understaffed and underequipped. He received supportive treatment in his village from the time symptoms presented until he was diagnosed 2 years later, at a tertiary medical centre, with colorectal cancer. An examination of the relevant literature indicates that younger patients often present in later stages of the disease due to initial misdiagnosis or overlooking colorectal cancer as a possibility. Beyond the rarity of the patient's condition, the logistical and financial obstacles he faced in Nepal, particularly outside of the capital of Kathmandu, deterred his access to a higher level of care and delayed his correct diagnosis and treatment.

    Original languageEnglish
    Article numberbcr-2017-219289
    JournalBMJ Case Reports
    Volume2017
    DOIs
    StatePublished - 1 Jan 2017

    Keywords

    • Cancer
    • Endoscopy
    • GI bleeding
    • Global Health
    • Medical education

    ASJC Scopus subject areas

    • Medicine (all)

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