Psoas Abscess Caused by Spontaneous Rupture of Colon Cancer.
10.4055/cios.2011.3.4.342
- Author:
Jun Young YANG
1
;
June Kyu LEE
;
Soo Min CHA
;
Yong Bum JOO
Author Information
1. Department of Orthopedic Surgery, Chungnam National University School of Medicine, Daejeon, Korea. jyyang@cnu.ac.kr
- Publication Type:Case Reports
- Keywords:
Psoas abscess;
Colon cancer;
Spontaneous rupture
- MeSH:
Adult;
Colonic Neoplasms/*complications;
Humans;
Male;
Psoas Abscess/*etiology;
Rupture, Spontaneous/complications;
Streptococcal Infections/*etiology
- From:Clinics in Orthopedic Surgery
2011;3(4):342-344
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
