Abscess of the abdominal wall resulting from perforated ascending colon cancer.

We report an unusual case of abscess of the abdominal wall as the initial symptom of a perforated right-sided colon cancer in a 62-year old man. Clinical examination revealed a non-fluctuating, tender, firm mass approximately 7 x 5 cm in diameter with overlying cellulitis in the right loin. Abdominal examination showed a fixed mass on the right side of the abdomen. Computed tomography (CT scan) confirmed the presence of a mass arising from the right colon with infiltration of the subcutaneous tissue by this intra-abdominal mass. Right hemicolectomy with lymph node dissection and en-bloc partial resection of the adherent parietal wall was performed and the final pathology showed a moderately differentiated mucinous adenocarcinoma. We report a case of ascending colon cancer presenting by an abscess of the abdominal wall.
AuthorsA Al-Hendal, W Al-Masri, M Al-Mishaan, S Alexander
JournalThe Gulf journal of oncology (Gulf J Oncolog) Issue 5 Pg. 60-3 (Jan 2009) ISSN: 2078-2101 [Print] Kuwait
PMID20084789 (Publication Type: Case Reports, Journal Article)
  • Abdominal Abscess (etiology, pathology, surgery)
  • Abdominal Wall (pathology, surgery)
  • Adenocarcinoma, Mucinous (complications, pathology, surgery)
  • Colonic Neoplasms (complications, pathology, surgery)
  • Humans
  • Intestinal Perforation (etiology, pathology, surgery)
  • Male
  • Middle Aged

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