Perforated sigmoid colon carcinoma presenting as a thigh abscess

Key Findings & Data:An unusual case of 63 years old male is described in which a thigh abscess was the initial symptom of sigmoid colon cancer.Due to the patient's poor general condition, local drainage of the abscess with extensive debridement and broad spectrum antibiotherapy was performed on the admission day.

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Conclusion & Impact:We present a review of the literature on this subject.

🔬Design:Review & Systematic Survey

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Complicated colorectal carcinoma has several symptoms, the occasional one is the perforation to the adjacent structures. An unusual case of 63 years old male is described in which a thigh abscess was the initial symptom of sigmoid colon cancer.Due to the patient's poor general condition, local drainage of the abscess with extensive debridement and broad spectrum antibiotherapy was performed on the admission day. But the septic complications which leading to the multiple organ failure result in death of the patient in the eighth day of the surgery. We present a review of the literature on this subject.

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Cite This Article

KARAKAN, İ., GÜNER, A., BOZKURT, S., KAYA, M. A., ÇELİK, F. (2022). Perforated sigmoid colon carcinoma presenting as a thigh abscess. Göztepe Tıp Dergisi, Cilt: 22 - Sayı: 2, 74–76. https://ajindex.com/articles/526303

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References (13)

Colorectal cancer; in World Cancer Report. 2003, Stewart BW and Kleihues P eds, IAPC Press, Lyon pp. 198-202, 2003
Mann GN, Scoggins CR, Adkins B: Perforated cecal adenocarcinoma presenting as a thigh abscess. South Med J 90:949-51, 1997
Peterson CM, Allison JG, Lu CC: Psoas abscess resulting from perforating carcinoma of the sigmoid colon. Report of a case. Dis Colon Rectum 26:390-2, 1983
Grunewald B, Bissett I: Abscess of the abdominal wall - an unusual presenting sign of colonic carcinoma. N Z Med J 112:262, 1999
Lam TP, Maffulli N, Chen EH, Cheng JC: Carcinomatous perforation of the sigmoid colon presenting as a thigh mass. Bull Hosp Jt Dis 55(2):83-5, 1996
Andaz S, Heald RJ: Abdominal wall abscess - an unusual primary presentation of a transverse colonic carcinoma. Postgrad Med J 69:826-8, 1993
Kobayashi H, Sakurai Y, Shoji M, Nakamura Y, Suganuma M, Imazu H, Hasegawa S, Matsubara T, Ochiai M, Funabiki T: Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum. J Gastroenterol 36:623-8, 2001
Shimizu J, Kinoshita T, Tatsuzawa Y, Takehara A, Kawaura Y, Takahashi S: Gluteal abscess caused by perforating rectal cancer: case report and review of the literature. Tumori 87:330-1, 2001
Llauger J, Perez C, Andreu J, Palmer J: Psoas abscess demonstrated by CT as the first evidence of carcinoma of the colon. Computerized Radiol 11(5/6):259-61, 1987
Tsukuda K, Ikeda E, Miyake T, Ishihama Y, Watatani H, Nogami T, Masuda H, Takagi S, Hirai R, Moriyama S, Tsuji H, Furutani S, Kunitomo T, Nawa S: Abdominal wall and thigh abscess resulting from the penetration of ascending colon cancer. Acta Med. Okayama59(6):281-3,2005
Matsumoto G, Asano H, Kato E, Matsuno S: Transverse colonic cancer presenting as an anterior abdominal wall abscess. Report of a case. Surg Today 31:166-9, 2001
Dewire DM, Bergstein JM: Carcinoma of the sigmoid colon: an unusual cause of Fournier's gangrene. J Urol 147:711-2, 1992
Stern JJ, Stoopack PM: Magnetic resonance imaging in the diagnosis of a psoas abscess. J Comput Tomogr 12(l):79-80, 1988.