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KMID : 1207720110030040342
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Clinics in Orthopedic Surgery
2011 Volume.3 No. 4 p.342 ~ p.344
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Psoas Abscess Caused by Spontaneous Rupture of Colon Cancer
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Yang Jun-Young
Lee June-Kyu
Cha Soo-Min
Joo Yong-Bum
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Abstract
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Spontaneous rupture of colon cancer, combined with psoas abscess formation, is rare. A 44-year-old male visited for back pain and left buttock mass. Abdominal computed tomography and magnetic resonance image revealed a large abscess in the left psoas muscle and in the left lower quadrant area. Ten days after incision and drainage, a skin defect around the left anterior superior iliac spine remained. A local flap was performed using a superficial skin graft. Ten days after the stitches had been removed, fecal discharge was observed around the anterior superior iliac spine at the flap site. An operation was performed by a general surgeon who had diagnosed this as a case of enterocutaneous fistula. Operative findings included a ruptured tumor mass in the descending colon, which was connected to a retroperitoneal abscess. Pathologic report findings determined adenocarcinoma of the resected colon. Herein, we report a case of psoas abscess resulting from perforating colon cancer.
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KEYWORD
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Psoas abscess, Colon cancer, Spontaneous rupture
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