Al-Hendal A, Al-Masri W, Al-Mishaan M, Alexander S
Department of Surgery, Al-Sabah Hospital, Ministry of Health, Kuwait.
Gulf J Oncolog. 2009 Jan(5):60-3.
We report an unusual case of abscess of the abdominal wall as the initial symptom of a perforated right-sided colon cancer in a 62-year old man. Clinical examination revealed a non-fluctuating, tender, firm mass approximately 7 x 5 cm in diameter with overlying cellulitis in the right loin. Abdominal examination showed a fixed mass on the right side of the abdomen. Computed tomography (CT scan) confirmed the presence of a mass arising from the right colon with infiltration of the subcutaneous tissue by this intra-abdominal mass. Right hemicolectomy with lymph node dissection and en-bloc partial resection of the adherent parietal wall was performed and the final pathology showed a moderately differentiated mucinous adenocarcinoma. We report a case of ascending colon cancer presenting by an abscess of the abdominal wall.
我们报告了一例罕见病例，一名62岁男性以腹壁脓肿为首发症状，最终确诊为右侧结肠癌穿孔。临床检查发现右侧腰部有一个直径约7×5厘米、无波动感、触痛、质地坚硬的肿块，表面伴有蜂窝织炎。腹部检查显示右侧腹部有一个固定肿块。计算机断层扫描（CT扫描）证实右侧结肠有一个肿块，并伴有腹腔内肿块浸润皮下组织。遂行右半结肠切除术、淋巴结清扫术及粘连腹壁的整块部分切除术，最终病理显示为中分化黏液腺癌。我们报告了一例以腹壁脓肿为表现的升结肠癌病例。
