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.

CaseAge/sexPathogenAntibioticCancer locationManagementOutcomeReference

185/FStreptococcus,  Prevotella buccae,   and  Bacteroides IV fosfomycinRightLDOARecoveryOkita et al. [22]
227/FE. coli IV 2nd and 3rd generation cephalosporin and metronidazoleLeftPDRecoveryLee et al. [23]
367/ME. coli  and   anaerobic bacteria IV carbapenemLeftPD then LDOARecoveryTakakura et al. [24]
444/MStreptococcus agalactiae   and  Streptococcus anginosus IV ciprofloxacin and metronidazole then IV 3rd generation cephalosporin and metronidazoleLeftLeft hemicolectomy and drainage of abscessRecoveryYang et al. [25]
557/MSalmonella  group   B,   Bacteroides caccae,  
Bacteroides fragilis, 
 and  Peptostreptococcus indolicus
IV ampicillin and sulbactamBilateralBilateral PDRecoveryLo et al. [26]
676/FE. coli  and  Proteus penneri IV imipenemRightPD then laparotomy with right hemicolectomyRecoveryTsukuda et al. [27]
Our case67/ME. coli  and  Citrobacter braakii Piperacillin/tazobactam + metronidazoleLeftLaparotomy with left hemicolectomy and drainage of abscessRecovery

IV: intravenous; PD: percutaneous drainage; LDOA: laparotomy with drainage of the abscess.