scholarly journals A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Alban Cacurri ◽  
Gaspare Cannata ◽  
Stefano Trastulli ◽  
Jacopo Desiderio ◽  
Antongiulio Mangia ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Iliac Fossa ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Fistula Formation ◽  
Iliopsoas Muscle ◽  
Left Iliac Fossa ◽  
Iliopsoas Abscess ◽  
Descending Colon ◽  
Descending Colon Cancer

Perforation of descending colon cancer combined with iliopsoas abscess and fistula formation is a rare condition and has been reported few times. A 67-year-old man came to our first aid for an acute pain in the left iliac fossa, in the flank, and in the ipsilateral thigh. Ultrasonography and computed tomography revealed a left abdominal wall, retroperitoneal, and iliopsoas abscess that also involved the ipsilateral obturator muscle. It proceeded with an exploratory laparotomy that showed a tumor of the descending colon adhered and perforated in the retroperitoneum with abscess of the iliopsoas muscle on the left-hand side, with presence of a fistula and liver metastases. A left hemicolectomy with drainage of the broad abscess was performed. Pathologic report findings determined adenocarcinoma of the resected colon.

scholarly journals Unruptured ectopic pregnancy in rudimentary horn of unicornuate uterus at fourteen weeks with previous vaginal delivery

2020 ◽  
Vol 9 (12) ◽  
pp. 5166
Author(s):  
Jaydip Hindocha ◽  
Sneh Sonaiya
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Peritoneal Lavage ◽  
Iliac Fossa ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Left Iliac Fossa ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Mullerian Ducts

Unicornuate uterus with a rudimentary horn is an anomaly of the mullerian duct and is an extremely rare condition. This condition results when one of the paired mullerian ducts fails to fuse completely. Its incidence is estimated to be one in 76,000 pregnancies.Pregnancy in the rudimentary horn of the unicornuate uterus is difficult to diagnose on ultrasound and can be easily missed out. Hence the pregnancy usually gets detected after rupture when the mother presents with the complaint of severe abdominal pain. This is a case report of a 24 year old G2P1A0L1 female who presented to us with complaints of tenderness in the left iliac fossa and mild abdominal distention. Clinical examinations, radiological investigations, and exploratory laparotomy revealed a unicornuate uterus with an unruptured left rudimentary horn pregnancy at 14 weeks with mild hemoperitoneum. Following the exploratory laparotomy, excision of the left rudimentary horn and thorough peritoneal lavage was performed.

Pylephlebitis Complicating Concurrent Sigmoid Endometriosis and Diverticulosis: A Case Report

2011 ◽  
Vol 3 (2) ◽  
pp. 120-123
Author(s):  
Alastair J. Hayes ◽  
Reddivari AK. Reddy ◽  
Beate Haugk ◽  
Hugh J. Gallagher
Keyword(s):  
Sigmoid Colon ◽  
Iliac Fossa ◽  
Colonic Obstruction ◽  
Liver Perfusion ◽  
Exploratory Laparotomy ◽  
Portal System ◽  
Fistula Formation ◽  
Inferior Mesenteric Vein ◽  
Intestinal Endometriosis ◽  
Left Iliac Fossa

Purpose To explain an unusually severe presentation of concurrent sigmoid diverticulosis and endometriosis. Intestinal endometriosis can be complicated by colonic obstruction, perforation, fistula formation, and sepsis. Suppurative thrombosis of the portal system (pylephlebitis) complicating intestinal endometriosis has not been previously reported. Methods A previously fit and well 44-year-old woman presented with a two-day history of severe, intermittent left iliac fossa pain and loose, brown stools. CT scan revealed thickening of the sigmoid colon and inferior mesenteric and intra-hepatic vein thrombosis with patchy liver perfusion. Conservative management failed and an exploratory laparotomy showed a sigmoid inflammatory phlegmon. The inferior mesenteric vein containing pus and thrombus was excised together with the sigmoid mass. Results Histology revealed sigmoid colonic diverticulosis and endometriosis associated with extensive subserosal abscess formation. Widespread suppurative necrotizing venulitis with partial thrombosis of mesenteric veins was found. Literature review revealed that endometriotic cells produce a variety of pro-inflammatory mediators. Conclusions We postulate that endometriotic tissue within the diverticular sigmoid colon triggered an inflammatory cascade, leading to bacterial translocation and pylephlebitis.

scholarly journals A CASE OF DESCENDING COLON CANCER WITH COLOCUTANEOUS FISTULA

2006 ◽  
Vol 67 (4) ◽  
pp. 847-850
Author(s):  
Kimitoshi NISHIO ◽  
Hiromi TANEMURA ◽  
Hiroo OSHITA ◽  
Akihiro KANNO
Keyword(s):  
Colon Cancer ◽  
Colocutaneous Fistula ◽  
Descending Colon ◽  
Descending Colon Cancer

scholarly journals A Case of Descending Colon Cancer with Tumor Thrombosis in the Inferior Mesenteric Vein

2019 ◽  
Vol 80 (4) ◽  
pp. 760-765
Author(s):  
Tetsuo TSUKAHARA ◽  
Eiji HAYASHI ◽  
Takeo KAWAHARA ◽  
Hiroki AOYAMA ◽  
Yukinori HATTORI ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Inferior Mesenteric Vein ◽  
Mesenteric Vein ◽  
Tumor Thrombosis ◽  
Descending Colon ◽  
Descending Colon Cancer

scholarly journals Metastatic descending colon cancer in an elderly man that was controlled with a combination chemotherapy after TAS-102

2016 ◽  
Vol 27 ◽  
pp. vii106
Author(s):  
Atsushi Naganuma ◽  
Daisuke Uehara ◽  
Yuta Watanuki ◽  
Keisuke Shiina ◽  
Haruka Yoshida ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Combination Chemotherapy ◽  
Descending Colon ◽  
Descending Colon Cancer

3061 Solitary Brain Metastasis as the Initial Manifestation of Descending Colon Cancer

2019 ◽  
Vol 114 (1) ◽  
pp. S1649-S1650
Author(s):  
Kentaro Yazawa ◽  
Yuki Azuma ◽  
Tomohiro Kurokawa ◽  
Giichiro Tsurita ◽  
Masaru Shinozaki
Keyword(s):  
Colon Cancer ◽  
Brain Metastasis ◽  
Initial Manifestation ◽  
Solitary Brain Metastasis ◽  
Descending Colon ◽  
Descending Colon Cancer

scholarly journals A Case of Advanced Descending Colon Cancer in an Adult Patient with Intestinal Malrotation

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Yoshifumi Nakayama ◽  
Masaki Akiyama ◽  
Yusuke Sawatsubashi ◽  
Noritaka Minagawa ◽  
Takayuki Torigoe ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Small Intestine ◽  
Adult Patient ◽  
Intestinal Malrotation ◽  
Uneventful Recovery ◽  
Colon Wall ◽  
Advanced Tumor ◽  
Operative Case ◽  
Descending Colon ◽  
Descending Colon Cancer

This report presents an operative case of advanced descending colon cancer in an adult patient with intestinal malrotation. A 63-year-old Japanese male was suffering from left side abdominal pain, abdominal distension, and constipation. An endoscopic examination revealed an advanced tumor in the descending colon. Computed tomography (CT) of the abdomen revealed the thickening of the descending colon wall and superior mesenteric vein rotation. An opaque enema detected severe stenosis of the descending colon. An abdominal X-ray examination revealed the dilation of the colon and small intestine with niveau. At the insertion of an ileus tube, the C-loop of the duodenum was observed to be absent and the small intestine was located on the right side of the abdomen. After the decompression of the bowel contents, laparotomy was performed. Descending colon cancer was observed to have directly invaded the left side of the transverse colon. Left hemicolectomy, lymph node dissection, and appendectomy were performed. The patient had an uneventful recovery and was discharged from the hospital on the 16th day after surgery. This report presents a rare operative case of descending colon cancer in an adult patient with intestinal malrotation.

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