title: Abdominal wall and thigh abscess resulting from the penetration of ascending colon cancer.
abstract: An unusual case is described in which an abdominal wall and thigh abscess was an initial symptom of ascending colon cancer. A 76-year-old woman was referred to our hospital for investigation of fever and abdominal and thigh swelling. Computed tomography revealed a right abdominal wall, retroperitoneal, psoas and thigh abscess formation suspected to be caused by colon perforation. Due to the patient's poor general condition, local drainage of the abscess was performed on the following day of hospitalization. Histological examination of necrotic tissues removed form the retroperitoneal cavity demonstrated adenocarcinoma of the colon. The patient subsequently underwent right hemicolectomy with lymph nodal dissection after 19 days of the drainage procedure and was transferred to another hospital on the 49th day following the second surgery.
authors.affiliation: Department of Surgery, Okayama Red Cross General Hospital, Japan. kazu.tsukuda@nifty.com
authors.forename: Kazunori
authors.initials: K
authors.lastname: Tsukuda
authors.forename: Eiji
authors.initials: E
authors.lastname: Ikeda
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Miyake
authors.forename: Yoko
authors.initials: Y
authors.lastname: Ishihara
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Watatani
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Nogami
authors.forename: Hiroko
authors.initials: H
authors.lastname: Masuda
authors.forename: Shoji
authors.initials: S
authors.lastname: Takagi
authors.forename: Ryuji
authors.initials: R
authors.lastname: Hirai
authors.forename: Shigeharu
authors.initials: S
authors.lastname: Moriyama
authors.forename: Hisashi
authors.initials: H
authors.lastname: Tsuji
authors.forename: Shiro
authors.initials: S
authors.lastname: Furutani
authors.forename: Tadayoshi
authors.initials: T
authors.lastname: Kunitomo
authors.forename: Sugato
authors.initials: S
authors.lastname: Nawa
mesh_terms: D034861:Abdominal Wall; D000038:Abscess / Q000209:etiology*; D000368:Aged; D003110:Colonic Neoplasms / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D013848:Thigh