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Case Reports in Surgery
Volume 2014, Article ID 128506, 5 pages
http://dx.doi.org/10.1155/2014/128506
Case Report

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

1Department of General and Oncologic Surgery, University of Perugia, 06157 Perugia, Italy
2Department of Digestive and Liver Surgery Unit, St. Maria Hospital, 05100 Terni, Italy

Received 20 November 2013; Accepted 9 February 2014; Published 16 March 2014

Academic Editors: F. Catena and A. Cho

Copyright © 2014 Alban Cacurri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.