Retroperitoneal abscess as an initial presentation of cecal carcinoma

Authors

• Abdul-Wahed N. Meshikhes, Department of Surgery, Dammam Central Hospital, Dammam, Kingdom of Saudi Arabia. Fax. +966 (3) 8551019. E-mail: meshikhes{at}doctor.com
• Meshal M. Al-Otaibi, Department of Surgery, Dammam Central Hospital, Dammam, Kingdom of Saudi Arabia.
• Hussain A. Al-Amer, Department of Surgery, Dammam Central Hospital, Dammam, Kingdom of Saudi Arabia.
• Osama H. Al-Saif, Department of Surgery, Dammam Central Hospital, Dammam, Kingdom of Saudi Arabia.

Abstract

We report an unusual case of cecal carcinoma presenting first time as retroperitoneal abscess. As the patient was septic on presentation and the underlying cancer was not clear, she was treated initially by extraperitoneal drainage of the abscess. She later underwent a palliative right hemicolectomy. She presented a month later with recurrence at the drainage site. This case highlights this unusual initial presentation of right colonic cancer, the diagnostic dilemma and the poor prognosis associated with it.

Article Type

Case Report

First Page

999

Last Page

1001

Recommended Citation

Meshikhes, Abdul-Wahed N.; Al-Otaibi, Meshal M.; Al-Amer, Hussain A.; and Al-Saif, Osama H. (2002) "Retroperitoneal abscess as an initial presentation of cecal carcinoma," Saudi Medical Journal: Vol. 23: Iss. 8, Article 21.
DOI: https://doi.org/10.15537/1658-3175.1799