SILENT COLON CARCINOMA PRESENTING AS A HEPATIC ABSCESS

Tumori 2007; 93(6): 616 - 618

Article Type: CASE REPORT

Authors

Andrea Giuliani, Alessandro Caporale, Martino Demoro, Michele Scimò, Francesca Galati, Gaspare Galati

Abstract

Penetration and abscess formation in an adjacent parenchymal organ as presentation of a colon cancer is very uncommon. We report a rare case of pyogenic liver abscess as the first manifestation of an infiltrative and penetrating hepatic flexure colon carcinoma without liver metastases.A 50-year-old woman was admitted with right abdominal pain, fever and chills.The initial diagnosis was a pyogenic liver abscess. Subsequent CT scan and colonoscopy evidenced a hepatic flexure colon cancer abscessed within segment 6 of the liver. Eight months after a right colectomy and liver resection there was no evidence of disease. The occurrence of a pyogenic liver abscess should raise the suspicion of a silent colon cancer.

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