Two Cases of Unusual Abscesses in Right Colon Cancer.

, Lee, Chae Young; , Jeon, Hae Myung; , Kim, Jeong Soo; , Oh, Seung Taek; , Kim, Won Woo; , Kim, Kee Hwan; , Chae, Hiun Suk; , Ahn, Bo Young

Case Report

Journal of the Korean Society of Coloproctology 1999;15(5):450-456.

Lee, Chae Young , Jeon, Hae Myung , Kim, Jeong Soo , Oh, Seung Taek , Kim, Won Woo , Kim, Kee Hwan , Chae, Hiun Suk , Ahn, Bo Young

¹Department of Surgery, Uijongbu St. Mary's Hospital College of Medicine, The Catholic University of Korea, Korea.
²Department of Internal Medicine, Uijongbu St. Mary's Hospital College of Medicine, The Catholic University of Korea, Korea.
³Department of Radiology, Uijongbu St. Mary's Hospital College of Medicine, The Catholic University of Korea, Korea.

Abstract

Two unusual presentations of carcinoma of the right colon are described. One of the two patients presented with huge abdominal abscess with adhesed to surrounding small bowels and the other presented with anterior abdominal wall abscess. Colonic carcinoma very rarely presents as abdominal wall abscess, retropertoneal abscess, groin inflammatory mass, subcutaneous thigh abscess, and obstruction with diastatic rupture of cecum. The appearance of the abscess may antecede any gastrointestinal symptoms, thus lessening the surgeon's suspicion of carcinoma. The literature has been reviewed and the pathology that characterizes such lesions and this management is discussed. The bulky colonic tumors with extensive local invasion and negative mesenteric lymph nodes have a relatively good prognosis if adequate resection is performed.

Key Words: Colon cancer; Abscess