title: Carcinoma cecum presenting as right gluteal abscess through inferior lumbar triangle pathway--report of a rare case.
abstract: Gluteal abscess commonly follows intramuscular injections with contaminated needles. Carcinoma cecum is known to present with pericolic abscess due to microperforations and may rupture intraperitoneally. Gluteal abscess secondary to perforated carcinoma cecum with pericolic abscess is extremely uncommon. A 50-year-old woman who was receiving intramuscular iron injections for anemia presented with a 10×10-cm abscess in the right gluteal region and a vague mass in the right iliac fossa. After investigations, a diagnosis of perforated carcinoma cecum with pericolic abscess tracking into the right gluteal region was made, and incision and drainage were done. Fine-needle aspiration cytology from the cecal growth revealed adenocarcinoma. Unfortunately, the patient was not willing to undergo definitive treatment. This case is being reported for its rarity and as an uncommon etiology for a common condition.
authors: Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India.
authors: Vilvapathy Senguttuvan
authors: VS
authors: Karthikeyan
authors: Sarath Chandra
authors: SC
authors: Sistla
authors: Duvuru
authors: D
authors: Ram
authors: Sheik Manwar
authors: SM
authors: Ali
authors: Sugi Subramaniam Raghavan
authors: SS
authors: Velayutham
authors: Nandhagopal
authors: N
authors: Vijayaraghavan
mesh_terms: D000038:Abscess / Q000473:pathology*; D018798:Anemia, Iron-Deficiency / Q000188:drug therapy; D002081:Buttocks / Q000473:pathology*; D002430:Cecal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D004322:Drainage; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular / Q000009:adverse effects*; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000473:pathology*; D007501:Iron / Q000008:administration & dosage; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D007501:Iron
keywords: Carcinoma cecum; Gluteal abscess; Inferior lumbar triangle