Abstract

A 60 years old women presented with non healing wound in right groin since last 8 months. She had a history of incision and drainage of anterior abdominal wall abscess in right groin 1 year back, CT Scan demonstrated a mass in right iliac fossa and para renal space with possibility of ruptured appendix with periappendiceal abscess in retroperitoneum. In view a palpable lump a sinogram was performed suggestive of enterocutaneous colonic fistula. Right Hemicolectomy with fistulous tract excision was performed and Histopathology report was suggestive of Mucinous adenocarcinoma of appendix and caecum infiltrating through whole thickness of wall into pericaecal tissue. Stage- T3NxMx, with clear resection margins.

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