Perforated colonic cancer presenting as intra-abdominal abscess.

International Journal of Colorectal Disease
Hsiang-Lin TsaiJaw-Yung Wang

Abstract

The various presentations of carcinoma of the colon are well known. Abscess formation occurs in 0.3 to 0.4% and is the second most common complication of perforated lesions. Perforation and penetration of adjacent organs with intra-abdominal abscess formation as the initial presentation is uncommon. A retrospective analysis was made between January 1998 and December 2003 at the Kaohsiung Medical University Hospital. Six colon cancer patients with intra-abdominal abscess as the initial presentation were enrolled into this study. Among them, two were men and four were women. During the 6-year period, there were 756 patients with colonic carcinoma but only six of those patients (0.79%) presented with abscess formation as the initial finding. The initial pre-operative diagnosis was ruptured colonic diverticulitis with abscess formation in three patients, and the other three patients were as follows: one ruptured appendicitis with abscess, one right subcutaneous inguinal abscess, and one omphalitis with abdominal wall abscess. Subsequent colonoscopy was performed in two patients, and colon cancer was recognized. The most common associated symptoms/signs were palpable abdominal mass, abdominal pain, and anemia. All of them underwent ...Continue Reading

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Citations

Sep 9, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N GrevforsL Påhlman
Jan 5, 2014·Case Reports in Radiology·Vasileios RafailidisKaradimou Vasiliki
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Aug 6, 2015·The American Journal of Emergency Medicine·Chen-Yi LiaoMing-Kai Tsai
Jan 24, 2018·The International Journal of Lower Extremity Wounds·Hanlei ZhouGuoxian Chen
Oct 6, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Rhiannon Evans, Sylvia Lin
Mar 2, 2010·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Sang Won KimChang-Jin Kim
Jul 16, 2010·Journal of Gastrointestinal Cancer·Girivasan MuthukumarasamyCatherine Sharp
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Sep 29, 2011·Journal of Gastrointestinal Cancer·Manojkumar S NairRomi M Navaratnam
May 10, 2020·World Journal of Emergency Surgery : WJES·Massimo SartelliFausto Catena

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