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腹膜后脓肿:结肠癌的一种表现形式。

Retroperitoneal abscess: a presentation of colon carcinoma.

作者信息

Maglinte D D, Pollack H M

出版信息

Gastrointest Radiol. 1983;8(2):177-81. doi: 10.1007/BF01948116.

DOI:10.1007/BF01948116
PMID:6852435
Abstract

Retroperitoneal abscess as an initial manifestation of carcinoma of the colon is unusual. Inappropriate management of an unrecognized lesion is invariably fatal. Awareness of this uncommon presentation can lead to a precise preoperative diagnosis and appropriate therapy. The possibility of a perforated colon carcinoma should be considered in instances of unexplained retroperitoneal mass and infection, and a barium enema performed on all such patients. The authors report 3 cases and illustrate the radiological features of retroperitoneal abscesses due to perforated colon carcinoma.

摘要

腹膜后脓肿作为结肠癌的首发表现并不常见。对未被识别的病变处理不当往往是致命的。认识到这种不常见的表现形式可导致术前做出准确诊断并进行适当治疗。在出现无法解释的腹膜后肿块和感染时,应考虑结肠穿孔癌的可能性,并对所有此类患者进行钡灌肠检查。作者报告了3例病例,并阐述了因结肠穿孔癌导致的腹膜后脓肿的放射学特征。

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1
Retroperitoneal abscess: a presentation of colon carcinoma.腹膜后脓肿:结肠癌的一种表现形式。
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2
Psoas abscess demonstrated by CT as the first evidence of carcinoma of the colon.CT显示腰大肌脓肿为结肠癌的首个证据。
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Retroperitoneal Abscess Revealing Ascending Colon Adenocarcinoma: A Case Report.腹膜后脓肿揭示升结肠癌:一例报告
Cureus. 2025 Jul 24;17(7):e88656. doi: 10.7759/cureus.88656. eCollection 2025 Jul.
2
Retroperitoneal abscess as a presentation of colon cancer: The largest case set analysis to date, which extracted from our unit and the literature.腹膜后脓肿作为结肠癌的一种表现形式:迄今为止最大规模的病例集分析,该分析取自我们科室及相关文献。
Front Oncol. 2023 Oct 24;13:1198592. doi: 10.3389/fonc.2023.1198592. eCollection 2023.
3
Clinical signs of retroperitoneal abscess from colonic perforation: Two case reports and literature review.

本文引用的文献

1
The Reaction of the Retroperitoneal Tissues to Infection.腹膜后组织对感染的反应
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2
Subcutaneous abscess as the first evidence of carcinoma of the colon.皮下脓肿作为结肠癌的首发证据。
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Retroperitoneal abscess.腹膜后脓肿
结肠穿孔致腹膜后脓肿的临床体征:两例报告及文献综述
Medicine (Baltimore). 2018 Nov;97(45):e13176. doi: 10.1097/MD.0000000000013176.
4
Rare Case of Iliopsoas Abscess Secondary to Mucinous Adenocarcinoma of the Colon: A Case Report.结肠黏液腺癌继发髂腰肌脓肿1例罕见病例报告
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Midline extraperitoneal approach for bilateral widespread retroperitoneal abscess originating from anorectal infection.经中线腹膜外入路治疗源自肛门直肠感染的双侧广泛性腹膜后脓肿。
Int J Surg Case Rep. 2016;19:4-7. doi: 10.1016/j.ijscr.2015.12.001. Epub 2015 Dec 7.
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A rare case of perforated descending colon cancer complicated with a fistula and abscess of left iliopsoas and ipsilateral obturator muscle.一例罕见的降结肠癌穿孔合并左髂腰肌和同侧闭孔肌瘘及脓肿。
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Perforated colonic cancer presenting as intra-abdominal abscess.以腹腔内脓肿形式表现的穿孔性结肠癌
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Spontaneously significant pneumoretroperitoneum misinterpreted as herniated intervertebral disc: an unusual presentation of perforation of ascending colon cancer.自发性大量腹膜后积气被误诊为椎间盘突出:升结肠癌穿孔的一种罕见表现。
Dig Dis Sci. 2004 Sep;49(9):1499-503. doi: 10.1023/b:ddas.0000042255.45807.b7.
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Role of CT in diagnosis and management of complications of diverticular disease.
Gastrointest Radiol. 1985;10(4):370-7. doi: 10.1007/BF01893134.
Arch Surg. 1961 Oct;83:512-24. doi: 10.1001/archsurg.1961.01300160024004.
4
The diagnosis of carcinoma of the colon and rectum; a review of 714 cases.结肠直肠癌的诊断;714例病例回顾
Br J Surg. 1956 Jul;44(183):1-7. doi: 10.1002/bjs.18004418302.
5
Advanced carcinoma of the colon with emphasis on the inflammatory factor.晚期结肠癌,重点关注炎症因子。
Ann R Coll Surg Engl. 1956 Jan;18(1):46-61.
6
Carcinoma of the descending colon causing perinephric abscess.降结肠癌导致肾周脓肿。
Am J Proctol Gastroenterol Colon Rectal Surg. 1980 Oct;31(10):25-6.
7
Perforated colon carcinoma presenting as a suprarenal mass.以肾上腺肿块形式出现的穿孔性结肠癌。
Comput Tomogr. 1981 Jan-Mar;5(1):55-8. doi: 10.1016/0363-8235(81)90074-0.
8
Penetrating, obstructing, and perforating carcinomas of the colon and rectum.结肠和直肠癌的浸润性、阻塞性和穿孔性癌
Arch Surg. 1981 Apr;116(4):381-4. doi: 10.1001/archsurg.1981.01380160005001.
9
Computed tomography and ultrasonography for diagnosis and treatment of renal and retroperitoneal abscesses.计算机断层扫描和超声检查在肾及腹膜后脓肿诊断与治疗中的应用
Urol Clin North Am. 1982 Feb;9(1):185-93.
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Carcinoma of the colon presenting as left perinephric abscess.以左肾周脓肿形式表现的结肠癌
Br J Surg. 1968 Jan;55(1):21-6. doi: 10.1002/bjs.1800550107.