Parietal mesh abscess as an original presentation of cancer of the caecum.
We report a case of cancer of the caecum in a 71-year-old male who presented with parietal mesh abscess. Two years before, he was treated for a right inguinal hernia by insertion of a Dacron mesh. CT scan then colonoscopy determined the existence of a voluminous caecal tumor perforated in the abdominal wall with an important abscess around the mesh. Right colectomy and parietal muscles excision were performed completed with postoperative radiochemotherapy. At 2 years, there is no evidence of recurrence. Atypical features with a hernia mesh repair associated with a sudden change in the patient's condition should alert the clinician to the possibility of a further subjacent pathological process.
Bouillot
J L
JL
Université Paris VI, Hôpital Broussais, Service de chirurgie générale et digestive, Paris, France.
Aouad
K
K
Alexandre
J H
JH
D000038:Abscess / Q000175:diagnosis* / Q000209:etiology; D000230:Adenocarcinoma / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D000368:Aged; D002430:Cecal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005549:Foreign-Body Reaction / Q000175:diagnosis*; D006552:Hernia, Inguinal / Q000601:surgery; D006801:Humans; D008297:Male; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome