Abstract
Article Transverse colon adenocarcinoma with direct cutaneous extension: complex multidisciplinary surgical management was published on June 1, 2022 in the journal Journal of Osteopathic Medicine (volume 122, issue 6).
Highlights
A 66-year-old cachectic female presented to the emergency department in August 2021 with dizziness
The incidence of transverse colon cancer is less common than cancers of other segments of large bowel, comprising only 10% [1]
Locally advanced colon cancer with direct cutaneous extension is exceedingly rare, with most of the literature arising from isolated case reports [2,3,4]
Summary
A 66-year-old cachectic female presented to the emergency department in August 2021 with dizziness. Physical examination revealed a 3–4 cm infraumbilical ulcerative mass, present for approximately 1 month. CT scan showed an 8 cm lower abdominal mass contiguous with the bladder dome, involving the mid-transverse colon and several segments of small bowel without evidence of metastatic disease (Figure 1). Percutaneous biopsy revealed poorly-differentiated adenocarcinoma, initially thought to be an urachal primary.
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