White Ashlyn, Tickal Adam D, Christopher Timothy
General Surgery, Grandview Medical Center, Birmingham, USA.
Surgery, Edward Via College of Osteopathic Medicine - Auburn Campus, Auburn, USA.
Cureus. 2025 Jul 14;17(7):e87895. doi: 10.7759/cureus.87895. eCollection 2025 Jul.
While typical presentations of colorectal cancer include gastrointestinal symptoms such as changes in bowel habits, anemia, and hematochezia, it can also present atypically, including direct invasion of adjacent structures such as the abdominal wall. This report details a rare case of cecal adenocarcinoma manifesting as rapidly progressive abdominal wall necrosis in a 43-year-old woman, highlighting the diagnostic challenge in such unusual presentations. The case underscores the importance of maintaining a high index of suspicion for underlying malignancy in atypical clinical scenarios and illustrates the complexity of balancing wound care, infection control, and oncologic management to optimize patient outcomes.
虽然结直肠癌的典型表现包括胃肠道症状，如排便习惯改变、贫血和便血，但它也可能有非典型表现，包括直接侵犯相邻结构，如腹壁。本报告详细介绍了一例罕见的盲肠腺癌病例，该病例表现为一名43岁女性迅速进展的腹壁坏死，突出了这种不寻常表现的诊断挑战。该病例强调了在非典型临床情况下对潜在恶性肿瘤保持高度怀疑的重要性，并说明了在平衡伤口护理、感染控制和肿瘤管理以优化患者预后方面的复杂性。
