eng Science and Education Publishing American Journal of Medical Case Reports ISSN Pending 2014-02-07 2 1 27 29 10.12691/ajmcr-2-1-9 AJMCR2014219 article SM Ikhwan ikhwansani@yahoo.com.my 1 CA Shahidah 2 Z Zaidi 2 S Hassan 2 Department of Surgery,School of Medical Sciences, Universiti Sains Malaysia Kuliyyah of Medicine, International Islamic University of Malaysia Synchronous primary colorectal cancer is rare and only occurs in 2% to 11% of all colorectal cancers. Thus, preoperative or intraoperative detection of synchronous tumor is vital because if they are not recognized, they may present at an advanced stage, thereby reduce the probability of cure. Early identification of synchronous tumor may alter the extensiveness of the surgical procedure in order to decide for strategic therapeutic management. http://pubs.sciepub.com/ajmcr/2/1/9/ajmcr-2-1-9.pdf synchronous colorectal cancer; colorectal adenocarcinoma