A 68-year-old man presented with a five-day history of pain, redness and swelling
of the right abdominal wall. He had underwent resection of colon cancer 1 year ago.
Right abdominal wall metastasis occurred 3 months ago, which was confirmed by biopsy
under ultrasound guidance. Owing to close relationship between the abdominal wall
metastasis and adjacent small intestine, the patient was treated with preoperative
chemotherapy and elective surgery. Abdominal X-ray examination showed pneumatosis
of the right lateral abdominal wall with fluid level (Fig. 1A). Water-soluble contrast gastrointestinal radiography revealed material passing
from the small intestine to the right abdominal wall (Fig. 1B). Subsequent computed tomography demonstrated the fistula between the abdominal
wall metastasis and adjacent small intestine (Fig. 1C). The patient underwent surgical resection and catheter drainage. Surgical findings
confirmed an orificium fistulae in the ileum, 2 cm in diameter.
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References
- Laparoscopic Resection of an Abdominal Wall Metastasis 5 Years after Primary Colorectal Cancer Resection.Case Rep Gastroenterol. 2019; 13: 78-84
- Small bowel diverticulum complicated by enterocutaneous fistula and abdominal wall abscess - Case report.Int J Surg Case Rep. 2019; 57: 39-41
Article info
Publication history
Published online: December 23, 2022
Accepted:
December 16,
2022
Received:
July 14,
2022
Identification
Copyright
© 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
