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ID 32885
JaLCDOI
フルテキストURL
著者
Okita, Atsushi Shikoku Cancer Center
Kubo, Yoshiro Shikoku Cancer Center
Tanada, Minoru Shikoku Cancer Center
Kurita, Akira Shikoku Cancer Center
Takashima, Shigemitsu Shikoku Cancer Center
抄録
Three cases of colon cancer accompanied by unusual abscess formation are reported. Case I : A 77-year-old man was diagnosed with a paracolic abscess formation behind the cecum and a swollen appendix by computed tomography (CT) scan. Case II : An 85-year-old woman was diagnosed with an abscess formation of the right iliopsoas muscle, a swollen appendix, and a thickened right colon wall by CT scan. After antibiotic therapy failed, both patients underwent ileocecal resection urgently under suspicion of appendicitis, but cecal cancer around the entrance to the appendix caused secondary appendicitis in both cases. Case III : A 50-year-old woman was diagnosed with sigmoid colon cancer with an abscess formation in the pelvic cavity concomitant with ovarian tumor. A Hartmann procedure was performed, and a pathological examination revealed that a subserosal abscess behind the sigmoid colon cancer perforated the rectum with abscess formation. All cases were definitively diagnosed intraoperatively. The cancer recurred in cases I and III. We emphasize that precise surgical evaluation has an important role in the diagnosis of these complicated diseases. In addition, surgery affords the patient the best chance of recovery, and in these advanced cases radical treatment is recommended as early as possible.
キーワード
abscess formation
colon cancer
Amo Type
Case Report
発行日
2007-04
出版物タイトル
Acta Medica Okayama
61巻
2号
出版者
Okayama University Medical School
開始ページ
107
終了ページ
113
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT