Carcinoma Proximal Third of Transverse Colon Presenting as Perforation with Pericolic Abscess

International Journal of Research in Health Sciences,2014,2,2,674-677.
Published:April 2014
Type:Case Report
Authors:
Author(s) affiliations:

Challapalli Srikanth Reddy1, Battalapalli SriHari Rao2, Thalamati Sujana3, Salavakam Munikrishna4, G.Venkata Prakash5 

1Assistant Professor. 2&5Professor. 3-Assistant Professor, DD Medical College, Thiruvallur, Tamilnadu. 4Resident

Dept of General Surgery, S.V.Medical College & S.V.R.R.G.G.Hospital, Tirupati, Andhra Pradesh, INDIA.

Abstract:

Most common presentation of colonic ca is change in bowel habits, abdominal pain and bleeding per rectum leading to anemia. Sometimes they perforate leading to pericolic abscess on left sided lesions and peritonitis on right sided lesions. We present here a case of 65 years old male presenting with abdominal pain and distension to casualty with no pneumo peritoneum on X-ray erect abdomen showing abscess cavity adjacent to right half of transverse colon and tubular growth with perforation of anterior wall of colon on exploratory laparotomy. This case is being reported for documenting the unusual presentation of carcinoma of right half of transverse colon, presenting as pericolic abscess, due to perforation

CT Abdomen showing Pericolic Abscess