Post-traumatic right lumbar abscess as first manifestation of perforated right colon cancer - A case report

Anna Rossetto, Franz Cerato, Carla Cedolini, Maria Concetta Arena, Vittorio Bresadola, Giovanni Terrosu

Research output: Contribution to journalArticlepeer-review

Abstract

Besides most common signs and symptoms suggesting a colic cancer, sometimes the clinical presentation can be difficult. Extra-abdominal abscess as a first sign of perforated colon carcinoma is a very unusual finding. We report a case of an old male patient, in bad general condition, with a post-traumatic finding of right lumbar abscess. After the percutaneous drainage with discharge of fecal material and a postponed explorative laparotomy, we discovered a perforated right colon carcinoma with a covered perforation affecting the duodenum wall and spreading to the hepatic bedand over to the back lumbar muscular wall. Because of the diffusion of the tumor, the patient was treated with palliative surgery with duodenum suture, right colon segment resection and subsequent ileocolic anastomosis with an uneventful postoperative course. The patient died 2 months later because of neoplastic cachexia.

Original languageEnglish
Pages (from-to)40-44
Number of pages5
JournalCase Reports in Oncology
Volume3
Issue number1
DOIs
Publication statusPublished - 2010

Keywords

  • Abscess
  • Inferior lumbar triangle
  • Perforated colon carcinoma

ASJC Scopus subject areas

  • Oncology

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