Silent colon carcinoma presenting as a hepatic abscess

Andrea Giuliani, Alessandro Caporale, Martino Demoro, Michele Scimò, Francesca Galati, Gaspare Galati

Research output: Contribution to journalArticlepeer-review


Penetration and abscess formation in an adjacent parenchymal organ as presentation of a colon cancer is very uncommon. We report a rare case of pyogenic liver abscess as the first manifestation of an infiltrative and penetrating hepatic flexure colon carcinoma without liver metastases. A 50-year-old woman was admitted with right abdominal pain, fever and chills. The initial diagnosis was a pyogenic liver abscess. Subsequent CT scan and colonoscopy evidenced a hepatic flexure colon cancer abscessed within segment 6 of the liver. Eight months after a right colectomy and liver resection there was no evidence of disease. The occurrence of a pyogenic liver abscess should raise the suspicion of a silent colon cancer.

Original languageEnglish
Pages (from-to)616-618
Number of pages3
Issue number6
Publication statusPublished - Nov 2007


  • Colorectal cancer
  • Pyogenic liver abscess

ASJC Scopus subject areas

  • Cancer Research


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