Anterior Abdominal Wall Abscess: An unusual presentation of Carcinoma of the Colon

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Keerthana Panchagnula
Poojitha Yalla
Badareesh Lakshminarayana
Kshama Hegde
Ramesh Singaraddi

Abstract

Background: Colorectal cancer progresses without any symptoms early on, or those clinical symptoms are very discrete and so are undetected for long periods of time. The case reported is an unusual presentation of colorectal cancer.


Case Report: A 60 year old man presented with right sided abdominal swelling. On examination, a well-defined, firm, tender swelling was noted. Computed tomography confirmed the presence of a mass arising from the right colon with infiltration of the right lateral abdominal wall and adjacent collection. An exploratory laparotomy with drainage of the subcutaneous abscess, resection of ascending colon, and ileotransverse colon anastomosis was performed.


Conclusion: A differential diagnosis of carcinoma colon should be considered when an elderly patient presents with abdominal wall abscess accompanied by altered bowel habits or per rectal bleeding, even if there are no other significant clinical symptoms and a thorough investigative work up is required to confirm the diagnosis, to avoid untimely delay in treatment, and reduce mortality.

Article Details

Panchagnula, K., Yalla, P., Lakshminarayana, B., Hegde, K., & Singaraddi, R. (2019). Anterior Abdominal Wall Abscess: An unusual presentation of Carcinoma of the Colon. Archives of Surgery and Clinical Research, 3(2), 070–071. https://doi.org/10.29328/journal.ascr.1001038
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Copyright (c) 2019 Panchagnula P, et al.

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