Attar L, Trabulsi N, Maghrabi A A, Nassif M
Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Case Rep Surg. 2018 Jan 24;2018:1974627. doi: 10.1155/2018/1974627. eCollection 2018.
Abdominal wall invasion by cancerous cells arising from the colon with an overlying secondary infection that presents as an abdominal wall abscess has been encountered previously, but such a symptom is rarely the first presentation of colon cancer. There are very few cases reported in the literature.
In this case report, we present a case of a 66-year-old male presenting with abdominal wall abscess that was refractory to treatment. The patient later was found to have an abdominal wall invasion by an underlying colonic carcinoma.
The purpose of this review is to set forth the proper approach when encountering such cases and emphasize on the significance of keeping a high index of suspicion. We also highlight the need for utilizing proper diagnostic imaging modalities prior to invasive intervention.
先前曾遇到结肠癌细胞侵犯腹壁并伴有继发性感染，表现为腹壁脓肿的情况，但这种症状很少是结肠癌的首发表现。文献中报道的病例极少。
在本病例报告中，我们呈现了一例66岁男性患者，其腹壁脓肿治疗效果不佳。该患者后来被发现存在潜在结肠癌侵犯腹壁的情况。
本综述的目的是阐述遇到此类病例时的正确处理方法，并强调保持高度怀疑的重要性。我们还强调在进行有创干预之前使用适当诊断成像方式的必要性。
