# Incidental Diagnosis of Metastatic Colorectal Cancer in a Habitual Hookah Smoker: A Case Report Emphasizing Early Detection and Lifestyle Risks

## TL;DR

A 42-year-old habitual hookah smoker was diagnosed with metastatic colorectal cancer, highlighting the risks of hookah smoking and the importance of early detection.

## Contribution

This case emphasizes the potential link between hookah smoking and colorectal cancer, and underscores the need for early detection and public health awareness.

## Key findings

- Metastatic colorectal cancer was incidentally diagnosed in a habitual hookah smoker.
- CRC was identified through non-specific indicators like abnormal liver enzymes.
- The case highlights the role of family medicine and multidisciplinary care in managing advanced CRC.

## Abstract

Colorectal cancer (CRC) is a major health concern and a significant contributor to global oncological mortality, influenced by genetic predisposition and lifestyle factors. Hookah smoking, prevalent in the Middle East, has been associated with an increased risk of various cancers, including CRC. This case report discusses the incidental discovery of metastatic CRC in a 42-year-old habitual hookah smoker, shedding light on the potential association between hookah use and CRC pathogenesis. Additionally, it addresses the diagnostic complexities posed by the asymptomatic nature of CRC, often identified through non-specific indicators such as abnormal liver enzymes. Furthermore, the case illustrates the crucial role of family medicine in detecting diseases, highlights the significance of multidisciplinary care in managing advanced CRC, and emphasizes the importance of public health initiatives to raise awareness about the risks of hookah smoking and promote regular health screenings in at-risk populations.