Abstract
Introduction Abdominal wall invasion by cancerous cells arising from the colon with an overlying secondary infection that presents as an abdominal wall abscess has been encountered previously, but such a symptom is rarely the first presentation of colon cancer. There are very few cases reported in the literature. Case Presentation In this case report, we present a case of a 66-year-old male presenting with abdominal wall abscess that was refractory to treatment. The patient later was found to have an abdominal wall invasion by an underlying colonic carcinoma. Conclusion The purpose of this review is to set forth the proper approach when encountering such cases and emphasize on the significance of keeping a high index of suspicion. We also highlight the need for utilizing proper diagnostic imaging modalities prior to invasive intervention.
Highlights
Carcinoma of the colon has the ability to mimic any abdominal disease with a wide spectrum of presentations
Advanced colon cancer with direct invasion into adjacent organs or that spreads along the tissue planes may result in formation of abscesses in unusual locations such as the abdominal wall, and sometimes, this can be the rst presentation [2,3,4]. e abdominal wall is more likely to be invaded by tumors arising from the intraperitoneal part of the colon
Abscess formation arising from colon cancer is a rare complication that occurs in 0.3–4% of the cases [2,3,4]
Summary
Carcinoma of the colon has the ability to mimic any abdominal disease with a wide spectrum of presentations. Direct invasion of transverse colon adenocarcinoma into the abdominal wall is rarely encountered. We hereby report a case of transverse colon tumor presented as an abscess in ltrating the abdominal wall. Because of the infrequency of this condition, our purpose with this review will set forth the proper approach in such cases to spread the awareness and improve the outcome
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