Dimitrakopoulou Evangelia, Stamopoulos Paraskevas, Mitsopoulos Grigorios, Batsi Ourania, Kaklamanos Ioannis
University of Athens Department of Surgery, General and Oncological Hospital of Kifissia "Agioi Anargyroi", Athens, GRC.
Department of Pathology, General and Oncological Hospital of Kifissia "Agioi Anargyroi", Athens, GRC.
Cureus. 2025 Jul 24;17(7):e88656. doi: 10.7759/cureus.88656. eCollection 2025 Jul.
Colon cancer is a common malignancy that can pose significant diagnostic and therapeutic challenges, especially when complicated by atypical presentations such as retroperitoneal abscess formation. We present the case of a 50-year-old Caucasian man with no significant medical history who initially presented in the emergency department due to a right lumbar abscess that had been incised at another facility. Imaging revealed a retroperitoneal abscess confined to the retroperitoneum. Initial conservative management with antibiotics and drainage was undertaken; however, subsequent imaging revealed communication with the ascending colon. The patient subsequently underwent a right hemicolectomy. Histopathological analysis confirmed a moderately differentiated adenocarcinoma of the colon, and the patient was referred for oncological evaluation. This case highlights the importance of considering underlying malignancy in atypical abscess presentations and emphasizes the role of advanced imaging and timely surgical intervention in improving outcomes.
结肠癌是一种常见的恶性肿瘤，会带来重大的诊断和治疗挑战，尤其是当出现诸如腹膜后脓肿形成等非典型表现并伴有并发症时。我们报告了一例50岁的白种男性病例，他没有重大病史，最初因右侧腰部脓肿在另一家医疗机构切开引流后就诊于急诊科。影像学检查显示腹膜后脓肿局限于腹膜后。最初采取了抗生素和引流的保守治疗；然而，随后的影像学检查显示脓肿与升结肠相通。患者随后接受了右半结肠切除术。组织病理学分析证实为结肠中分化腺癌，患者被转诊进行肿瘤学评估。该病例强调了在非典型脓肿表现中考虑潜在恶性肿瘤的重要性，并强调了先进影像学检查和及时手术干预在改善治疗结果中的作用。
