A 45 year-old man with epigastric pain for 2 months but failed in gastritis management in a hospital and getting worse his status.
At Medic Center, ultrasonography revealed the transverse colon wall thickening =12-17 mm associated with malignancy, which was linked to a neighboring abscess measuring 59x21 mm that was sealed off. A fistula between the cancer and the abscess was seen on ultrasound.
Lab data: WBC=20,51x10^9/L, CEA: 5.47ng/mL
MSCT confirmed the abscess at posterior of the transverse colon due to perforated transverse colon cancer.
Open surgery removed the # 5x5 cm transverse colon cancer which perforated at posterior face and an arteficial anus was done. But 3 days later, this artificial anus was necrotizing then the proctotoreusis was done secondly.
The histopathological result was a high differentiazed carcinoma invasive of colon.
The patient remained well after the 2 complex operations.
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