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.
Al-Hendal
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A
Department of Surgery, Al-Sabah Hospital, Ministry of Health, Kuwait. dradhend@hotmail.com
Al-Masri
W
W
Al-Mishaan
M
M
Alexander
S
S
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