A case of carcinoma of the descending colon presented with an abscess in the left ilio-psoas muscle

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  • 左腸腰筋膿瘍を契機に発見された下行結腸癌の1例
  • 症例 左腸腰筋膿瘍を契機に発見された下行結腸癌の1例
  • ショウレイ ヒダリ チョウ ヨウキン ノウヨウ オ ケイキ ニ ハッケン サレタ カコウケッチョウ ガン ノ 1レイ

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Abstract

An 86-year-old woman was admitted to our hospital because of fever and left lower abdominal pain in August 2010. Physical examination showed a mass in the left lower abdomen and an abdominal computed tomography (CT) scan showed an abscess formation in the left ilio-psoas muscle. Percutaneous abscess drainage was performed after admission. Because she was found to have anemia, a colonoscopy was performed and showed a tumor of the descending colon. The pathological diagnosis of a biopsy specimen was moderately differentiated adenocarcinoma. An operation was performed under the diagnosis of descending colon cancer with an ilio-psoas abscess. Operative findings indicated that the tumor was 5 cm in diameter and located at the descending colon and had invaded the left ilio-psoas muscle. Resection of the descending colon (D2) combined with partial resection of the ilio-psoas muscle was performed. Colon cancer should be considered as a probable differential diagnosis in a patient with an abscess in the ilio-psoas muscle.

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