A Case of Metastatic Colon Cancer Detected due to an Intra-abdominal Abscess following Surgery for Cervical Cancer
子宮頸癌術後に腹腔内膿瘍を契機に発見された転移性大腸癌の1例

Jun TAUCHI, Hisashi NAGAHARA, Masatune SHIBUTANI, Eiji NODA, Kiyoshi MAEDA, Kosei HIRAKAWA
2013 Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)  
A woman 44 years old was diagnosed with stage Ⅱb, T2bN0M0 cervical cancer following atypical genital bleeding, and she underwent radical hysterectomy and bilateral ovarian lift surgery. The patient developed right-sided abdominal pain from around seven months postoperatively, and computed tomography (CT) examination showed an intra-abdominal abscess in the right paracolic gutter, while imaging of the abscess cavity showed formation of a fistula between the abscess cavity and the ascending
more » ... Since no improvements were seen following abscess drainage, right hemicolectomy and peritoneal drainage were performed. A perforation was found in the ascending colon, and wall hardening was seen from the cecum to the lateral posterior side of the ascending colon, with formation of an abscess cavity. The pathological diagnosis was squamous cell carcinoma in the submucosa of the perforation site and the attachment site of the tumor on the serosal side, and the tumor contained tissues from the ovaries and the oviduct. A diagnosis of cervical cancer metastasis to the ascending colon was made. Since colonic metastasis of malignant tumors is a relatively rare condition, this case of colonic metastasis of cervical cancer is reported in the context of the relevant literature.
doi:10.3919/jjsa.74.3405 fatcat:z4e3pff3lzfy7gbnlhrgl7kv7m