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SILENT COLON CARCINOMA PRESENTING AS A HEPATIC ABSCESS

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.

Tumori 2007; 93(6): 616 - 618

Article Type: CASE REPORT

Authors

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

Article History

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Authors

  • Giuliani, Andrea [PubMed] [Google Scholar]
    Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, La Sapienza University, Rome, Italy
  • Caporale, Alessandro [PubMed] [Google Scholar]
    Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, La Sapienza University, Rome, Italy
  • Demoro, Martino [PubMed] [Google Scholar]
    Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, La Sapienza University, Rome, Italy
  • Scimò, Michele [PubMed] [Google Scholar]
    Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, La Sapienza University, Rome, Italy
  • Galati, Francesca [PubMed] [Google Scholar]
    Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, La Sapienza University, Rome, Italy
  • Galati, Gaspare [PubMed] [Google Scholar]
    Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, La Sapienza University, Rome, Italy

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