A rare case of perforated descending colon cancer complicated with a fistula and abscess of left iliopsoas and ipsilateral obturator muscle.

Abstract

Perforation of descending colon cancer combined with iliopsoas abscess and fistula formation is a rare condition and has been reported few times. A 67-year-old man came to our first aid for an acute pain in the left iliac fossa, in the flank, and in the ipsilateral thigh. Ultrasonography and computed tomography revealed a left abdominal wall, retroperitoneal, and iliopsoas abscess that also involved the ipsilateral obturator muscle. It proceeded with an exploratory laparotomy that showed a tumor of the descending colon adhered and perforated in the retroperitoneum with abscess of the iliopsoas muscle on the left-hand side, with presence of a fistula and liver metastases. A left hemicolectomy with drainage of the broad abscess was performed. Pathologic report findings determined adenocarcinoma of the resected colon.

• Authors: Alban Cacurri, Gaspare Cannata, Stefano Trastulli, Jacopo Desiderio, Antongiulio Mangia, Olga Adamenko, Eleonora Pressi, Giorgio Giovannelli, Giuseppe Noya, Amilcare Parisi
• Journal: Case reports in surgery (Case Rep Surg) Vol. 2014 Pg. 128506 ( 2014) ISSN: 2090-6900 [Print] United States
• PMID: 24744948 (Publication Type: Journal Article)