Case Report
A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle
Table 4
Summary of some cases of colon cancer complicated with psoas abscess reported between 1990 and 2013.
| Case | Age/sex | Pathogen | Antibiotic | Cancer location | Management | Outcome | Reference |
| 1 | 85/F | Streptococcus, Prevotella buccae, and Bacteroides | IV fosfomycin | Right | LDOA | Recovery | Okita et al. [22] | 2 | 27/F | E. coli | IV 2nd and 3rd generation cephalosporin and metronidazole | Left | PD | Recovery | Lee et al. [23] | 3 | 67/M | E. coli and anaerobic bacteria | IV carbapenem | Left | PD then LDOA | Recovery | Takakura et al. [24] | 4 | 44/M | Streptococcus agalactiae and Streptococcus anginosus | IV ciprofloxacin and metronidazole then IV 3rd generation cephalosporin and metronidazole | Left | Left hemicolectomy and drainage of abscess | Recovery | Yang et al. [25] | 5 | 57/M | Salmonella group B, Bacteroides caccae, Bacteroides fragilis, and Peptostreptococcus indolicus | IV ampicillin and sulbactam | Bilateral | Bilateral PD | Recovery | Lo et al. [26] | 6 | 76/F | E. coli and Proteus penneri | IV imipenem | Right | PD then laparotomy with right hemicolectomy | Recovery | Tsukuda et al. [27] | Our case | 67/M | E. coli and Citrobacter braakii | Piperacillin/tazobactam + metronidazole | Left | Laparotomy with left hemicolectomy and drainage of abscess | Recovery | |
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IV: intravenous; PD: percutaneous drainage; LDOA: laparotomy with drainage of the abscess.
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