Psoas abscess caused by spontaneous rupture of colon cancer

Spontaneous rupture of colon cancer, combined with psoas abscess formation, is rare. A 44-year-old male visited for back pain and left buttock mass. Abdominal computed tomography and magnetic resonance image revealed a large abscess in the left psoas muscle and in the left lower quadrant area. Ten d...

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Bibliographic Details
Published in:Clinics in orthopedic surgery 2011, 3(4), , pp.342-344
Main Authors: Yang, Jun-Young, Lee, June-Kyu, Cha, Soo-Min, Joo, Yong-Bum
Format: Article
Language:English
Subjects:
Adult
Case Report
Colonic Neoplasms - complications
Humans
Male
Psoas Abscess - etiology
Rupture, Spontaneous - complications
Streptococcal Infections - etiology
정형외과학
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Summary:Spontaneous rupture of colon cancer, combined with psoas abscess formation, is rare. A 44-year-old male visited for back pain and left buttock mass. Abdominal computed tomography and magnetic resonance image revealed a large abscess in the left psoas muscle and in the left lower quadrant area. Ten days after incision and drainage, a skin defect around the left anterior superior iliac spine remained. A local flap was performed using a superficial skin graft. Ten days after the stitches had been removed, fecal discharge was observed around the anterior superior iliac spine at the flap site. An operation was performed by a general surgeon who had diagnosed this as a case of enterocutaneous fistula. Operative findings included a ruptured tumor mass in the descending colon, which was connected to a retroperitoneal abscess. Pathologic report findings determined adenocarcinoma of the resected colon. Herein, we report a case of psoas abscess resulting from perforating colon cancer.
ISSN:2005-291X
2005-4408
DOI:10.4055/cios.2011.3.4.342