Unusual abscesses in perforating colorectal cancer

Welch, John P.

doi:10.1016/0002-9610(76)90114-8

Cited by 22 publications

(5 citation statements)

References 20 publications

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“…4 Reviews of psoas abscesses have shown that the most frequent cause is bowel disease, such as Crohn's disease, 5-9 diverticulitis, 13 and perforated colon carcinoma. 14,15 Other known causes of retroperitoneal or psoas abscess include osteomyelitis, 16 seeding of posttraumatic pelvic hematomas, 17 postradiation, 18 perforated appendicitis, 19-21 toothpick perforations, 22 and cryptogenic and iatrogenic factors. [23][24][25][26][27] The incidence of the association with psoas abscess in patients with Crohn's disease is reported to range from 2.7% to 10.0%.…”

Section: Discussionmentioning

confidence: 99%

Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum

Kobayashi

Sakurai

Shoji

et al. 2001

Journal of Gastroenterology

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Although retroperitoneal or psoas abscess is an unusual clinical problem, the insidious and occult characteristics of this abscess sometimes cause diagnostic delays, resulting in considerably high morbidity and mortality. In particular, psoas abscess caused by perforated colon carcinoma is uncommon. We report a case of psoas abscess caused by a carcinoma of the cecum. A 72-year-old Japanese woman was admitted to our hospital, with pain in the right groin and buttock. The pain had appeared 6 months before admission, and the symptoms had then been relieved by oral antibiotics. On March 25, 1999, inflammatory signs in the right buttock indicated localized cellulitis, and incision and drainage was performed at a local hospital. The patient was referred to our hospital on the same day. On admission to our hospital, computed tomography (CT) scan revealed a thick right-sided colonic wall and enlargement of the right ileopsoas muscle. Barium enema and colonofiberscopy revealed an ulcerated tumor occupying the entire circumference of the cecum. A retroperitoneal abscess and fistula had been formed by the retroperitoneal perforation of cecum carcinoma: surgical resection was performed after remission of the local inflammatory signs. Operative findings indicated that the cancerous lesion and its surrounding tissues were firmly attached to the right iliopsoas and major psoas muscle, and en-bloc resection, including adjacent muscular tissue, was performed. The fact that carcinoma of the colon could be a cause of psoas abscess and cellulitis in the gluteal region should be considered when an unexplained psoas abscess is diagnosed.

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Section: Discussionmentioning

confidence: 99%

Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum

Kobayashi

Sakurai

Shoji

et al. 2001

Journal of Gastroenterology

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“…The occurrence of a pyogenic liver abscess should raise the suspicion of a malignancy and urge the search for associated digestive disease 1 . Although digestive malignancy is a risk factor for liver abscess, the possibility that a liver abscess might be the presenting sign of an undiagnosed large bowel cancer is very small [2][3][4] . Breaks of the mucosal barrier of the tumor may be followed by portal bacteremia.…”

Section: Introductionmentioning

confidence: 99%

Silent Colon Carcinoma Presenting as a Hepatic Abscess

Giuliani

Caporale

Demoro

et al. 2007

Tumori

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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.

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“…5,15 However, Merrill et al 16 reported that only 121 (2.4%) of 4947 patients with colon carcinoma had involvement of the anterior abdominal wall, and a more recent report indicated that colon carcinoma is rarely complicated by abdominal wall abscess. 17 Our review of the Japanese literature indicated that abdominal abscess is caused by inflammatory diseases, including acute appendicitis, gynecological disorders, Crohn's disease, colonic diverticula, cholecystitis, and intestinal perforation in the intraperitoneal cavity. 14 The placement of catheters through the abdominal wall for various reasons, foreign bodies, and urachal rudiment are less common causes.…”

Section: Discussionmentioning

confidence: 98%

Abdominal Wall Abscess Associated with Perforated Jejunal Diverticulitis: Report of a Case

et al. 2005

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We report a case of abdominal wall abscess caused by diverticulitis of the jejunum penetrating through the abdominal wall. A 53-year-old Japanese woman visited a local hospital complaining of abdominal pain and a mass in the left lower abdomen. An abdominal computed tomography scan showed a tumor with isodensity in the left lower abdominal wall. Magnetic resonance imaging showed a mass in the abdominal wall with isointensity in the T1-intensified image and high intensity in the T2-intensified images. The mass was heterogeneous inside and protruded partially toward the intraperitoneal cavity. Ultrasound examination showed a heteroechoic mass extending into the intraperitoneal cavity. Laparotomy revealed a tumor in the abdominal wall with a fistulous tract extending to the jejunum. We resected the abdominal wall tumor with partial resection of the small intestine. The resected specimen contained a tumor with a fistulous tract passing through the abdominal wall. Histological examination revealed remarkable infiltration of neutrophils and a bacterial mass in the abdominal wall tumor, with a fistulous tract connected to the area adjacent to the mesenteric border of the jejunum. These findings suggested that diverticulitis of the jejunum had penetrated through the abdominal wall, leading to the formation of an abscess. We report this case to highlight the need for complete gastrointestinal evaluation with gastrointestinal barium studies and imaging analysis to examine extension of intra-abdominal lesions in patients with an unexplained abdominal wall abscess.

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Unusual abscesses in perforating colorectal cancer

Cited by 22 publications

References 20 publications

Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum

Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum

Silent Colon Carcinoma Presenting as a Hepatic Abscess

Abdominal Wall Abscess Associated with Perforated Jejunal Diverticulitis: Report of a Case

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