A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle

Perforation of descending colon cancer combined with iliopsoas abscess and fistula formation is a rare condition and has been reported few times. A 67-year-old man came to our first aid for an acute pain in the left iliac fossa, in the flank, and in the ipsilateral thigh. Ultrasonography and compute...

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Main Authors: Alban Cacurri, Gaspare Cannata, Stefano Trastulli, Jacopo Desiderio, Antongiulio Mangia, Olga Adamenko, Eleonora Pressi, Giorgio Giovannelli, Giuseppe Noya, Amilcare Parisi
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2014/128506
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author Alban Cacurri
Gaspare Cannata
Stefano Trastulli
Jacopo Desiderio
Antongiulio Mangia
Olga Adamenko
Eleonora Pressi
Giorgio Giovannelli
Giuseppe Noya
Amilcare Parisi
author_facet Alban Cacurri
Gaspare Cannata
Stefano Trastulli
Jacopo Desiderio
Antongiulio Mangia
Olga Adamenko
Eleonora Pressi
Giorgio Giovannelli
Giuseppe Noya
Amilcare Parisi
author_sort Alban Cacurri
collection DOAJ
description Perforation of descending colon cancer combined with iliopsoas abscess and fistula formation is a rare condition and has been reported few times. A 67-year-old man came to our first aid for an acute pain in the left iliac fossa, in the flank, and in the ipsilateral thigh. Ultrasonography and computed tomography revealed a left abdominal wall, retroperitoneal, and iliopsoas abscess that also involved the ipsilateral obturator muscle. It proceeded with an exploratory laparotomy that showed a tumor of the descending colon adhered and perforated in the retroperitoneum with abscess of the iliopsoas muscle on the left-hand side, with presence of a fistula and liver metastases. A left hemicolectomy with drainage of the broad abscess was performed. Pathologic report findings determined adenocarcinoma of the resected colon.
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institution Kabale University
issn 2090-6900
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language English
publishDate 2014-01-01
publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-dc21595e37ad4564901b87d58f5c7e5a2025-02-03T01:09:36ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/128506128506A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator MuscleAlban Cacurri0Gaspare Cannata1Stefano Trastulli2Jacopo Desiderio3Antongiulio Mangia4Olga Adamenko5Eleonora Pressi6Giorgio Giovannelli7Giuseppe Noya8Amilcare Parisi9Department of General and Oncologic Surgery, University of Perugia, 06157 Perugia, ItalyDepartment of General and Oncologic Surgery, University of Perugia, 06157 Perugia, ItalyDepartment of Digestive and Liver Surgery Unit, St. Maria Hospital, 05100 Terni, ItalyDepartment of Digestive and Liver Surgery Unit, St. Maria Hospital, 05100 Terni, ItalyDepartment of General and Oncologic Surgery, University of Perugia, 06157 Perugia, ItalyDepartment of Digestive and Liver Surgery Unit, St. Maria Hospital, 05100 Terni, ItalyDepartment of Digestive and Liver Surgery Unit, St. Maria Hospital, 05100 Terni, ItalyDepartment of Digestive and Liver Surgery Unit, St. Maria Hospital, 05100 Terni, ItalyDepartment of General and Oncologic Surgery, University of Perugia, 06157 Perugia, ItalyDepartment of Digestive and Liver Surgery Unit, St. Maria Hospital, 05100 Terni, ItalyPerforation of descending colon cancer combined with iliopsoas abscess and fistula formation is a rare condition and has been reported few times. A 67-year-old man came to our first aid for an acute pain in the left iliac fossa, in the flank, and in the ipsilateral thigh. Ultrasonography and computed tomography revealed a left abdominal wall, retroperitoneal, and iliopsoas abscess that also involved the ipsilateral obturator muscle. It proceeded with an exploratory laparotomy that showed a tumor of the descending colon adhered and perforated in the retroperitoneum with abscess of the iliopsoas muscle on the left-hand side, with presence of a fistula and liver metastases. A left hemicolectomy with drainage of the broad abscess was performed. Pathologic report findings determined adenocarcinoma of the resected colon.http://dx.doi.org/10.1155/2014/128506
spellingShingle Alban Cacurri
Gaspare Cannata
Stefano Trastulli
Jacopo Desiderio
Antongiulio Mangia
Olga Adamenko
Eleonora Pressi
Giorgio Giovannelli
Giuseppe Noya
Amilcare Parisi
A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle
Case Reports in Surgery
title A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle
title_full A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle
title_fullStr A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle
title_full_unstemmed A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle
title_short A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle
title_sort rare case of perforated descending colon cancer complicated with a fistula and abscess of left iliopsoas and ipsilateral obturator muscle
url http://dx.doi.org/10.1155/2014/128506
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