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Right iliac fossa abscess as first manifestation of perforated adenocarcinoma of sigmoid: a rare case report

The Chinese-German Journal of Clinical Oncology 2012年第7期11卷 422-424页

作者： Mohammad Hossein Hajisadeghizadeh Hamid Reza Soltani.G Seyed Mohammad Reza Mortazavizadeh Fatemeh Akhiri A General Surgery Yazd BranchI slamic Azad UniversityYazdIran Scientific Society of Medicine Yazd BranchI slamic Azad UniversityYazdIran Hematology and Oncology Yazd BranchI slamic Azad UniversityYazdIran

Colorectal cancer usually present with known symptoms while there are less common manifestation including abscess formation which can be intra or extra peritoneal. A 60-year-old Caucasian male with a history of RLQ abdominal pain, nausea, vomiting and anorexia from 15 days ago referred to surgery ward. Ultrasound showed a hypoachoic lesion with diameters 50 mm x 70 mm in RLQ of abdomen and a round echogenic area in right lobe of liver with diameter 15 mm. The findings were revealed an abscess located in right lilac fossa then local drainage of abscess was performed. Four days later the patient was re-admitted because of severe abdominal distention and lack of bowel movement. Laparoscopy was performed before proceeding with further examinations, due to the poor general condition of the patient. The sigmoid was adherent into the abdominal wall and mild intestinal loop distention and apple-core view was observed during operation. Can- cer of sigmoid complicated by a right lilac fossa abscess was diagnosed and Hartman colestomy was undertaken. At the last follow-up examination 3 months after operation, the patient was in good health with no clinical evidence of recurrence.

关键词： colorectal cancer adenocarcinoma abdominal abscesses

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