Atypical presentation of colon cancer: perforation with hepatic fistulization

Autores

  • Joana Ruivo Rodrigues Centro Hospitalar Tondela-Viseu, Viseu
  • Bernadete Rodrigues Centro Hospitalar Tondela-Viseu, Viseu
  • Nuno Ribeiro Centro Hospitalar Tondela-Viseu, Viseu
  • Carla Filipa Ribeiro Centro Hospitalar Tondela-Viseu, Viseu
  • Ângela Figueiredo Centro Hospitalar Tondela-Viseu, Viseu
  • Alexandre Mota Centro Hospitalar Tondela-Viseu, Viseu
  • Daniel Cardoso Centro Hospitalar Tondela-Viseu, Viseu
  • Pedro Azevedo Centro Hospitalar Tondela-Viseu, Viseu
  • Duarte Silva Centro Hospitalar Tondela-Viseu, Viseu

DOI:

https://doi.org/10.25748/arp.13311

Resumo

One of the known and rare complications of the colon cancer is perforation, with fistulas or abscesses formation. In this paper it is reported the case of a 61 year old man who presented himself with pain and a palpable mass in the right upper abdominal quadrant in association with fever and weight loss. The radiological investigation showed findings compatible with perforated colon cancer and hepatic fistulization. An emergent surgery was performed and confirmed the radiologic suspicion.

Biografias Autor

Joana Ruivo Rodrigues, Centro Hospitalar Tondela-Viseu, Viseu

Serviço de Radiologia

Bernadete Rodrigues, Centro Hospitalar Tondela-Viseu, Viseu

Serviço de Radiologia

Nuno Ribeiro, Centro Hospitalar Tondela-Viseu, Viseu

Serviço de Radiologia

Carla Filipa Ribeiro, Centro Hospitalar Tondela-Viseu, Viseu

Serviço de Radiologia

Ângela Figueiredo, Centro Hospitalar Tondela-Viseu, Viseu

Serviço de Radiologia

Alexandre Mota, Centro Hospitalar Tondela-Viseu, Viseu

Serviço de Radiologia

Daniel Cardoso, Centro Hospitalar Tondela-Viseu, Viseu

Serviço de Radiologia

Pedro Azevedo, Centro Hospitalar Tondela-Viseu, Viseu

Serviço de Radiologia

Duarte Silva, Centro Hospitalar Tondela-Viseu, Viseu

Serviço de Radiologia

Referências

Yang XF, Pan K. Diagnosis and management of acute complications in patients with colon cancer: bleeding, obstruction, and perforation. Chin J Cancer Res. 2014;26:331-40.

Katabathina VS, Restrepo CS, Cuellar SLB, Riascos RF, Menias CO. Imaging of Oncologic Emergencies: What Every Radiologist Should Know. RadioGraphics. 2013;33:1533–53.

Kim SW, Shin HC, Kim IY, Kim YT, Kim CJ. CT findings of colonic complications associated with colon cancer. Korean J Radiol. 2010;11:211-21.

Tsai HL, Hsieh JS, Yu FJ, Wu DC, Chen FM, Huang CJ, et al. Perforated colonic cancer presenting as intra-abdominal abscess. Int J Colorectal Dis. 2007;22:15-9.

Takahashi M, Fukuda T. Ileorectal fistula due to a rectal cancer—A case report. Int J Surg Case Rep. 2011;2:20–1.

Haldane DR. Case of cancer of the cecum accompanied with cecoduodenal and cecocolic fistulae. Med J Edinburgh. 1862;7:624–9.

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Publicado

2017-10-17

Edição

Secção

Casos Clínicos