title: Abscess of the abdominal wall resulting from perforated ascending colon cancer.
abstract: 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.
authors.affiliation: Department of Surgery, Al-Sabah Hospital, Ministry of Health, Kuwait. dradhend@hotmail.com
authors.forename: A
authors.initials: A
authors.lastname: Al-Hendal
authors.forename: W
authors.initials: W
authors.lastname: Al-Masri
authors.forename: M
authors.initials: M
authors.lastname: Al-Mishaan
authors.forename: S
authors.initials: S
authors.lastname: Alexander
mesh_terms: D018784:Abdominal Abscess / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D034861:Abdominal Wall / Q000473:pathology* / Q000601:surgery; D002288:Adenocarcinoma, Mucinous / Q000150:complications* / Q000473:pathology / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged