Rare Skin Fistulas Relating to Ascending Colonic Carcinoma: An Unusual Mode of Revelation

Abstract

Chronic or nonhealing wounds is a complex disease influenced by a multitude of factors, such as infection, ischemia, malnutrition, and diabetes and infrequently relates to retroperitoneal carcinoma. We present a case of an adenocarcinoma of ascending colon in a 68-year-old male who had lumbago and waist fistulas with retroperitoneal abscesses preceding other signs or symptoms of colonic malignancy. Supplemental information regarding the diagnosis and treatment of nonhealing wounds and colon carcinoma has also been included in the report. Adenocarcinoma of ascending colon is rarely associated with nonhealing wounds; nevertheless, it should be considered in cases with long-term healing complications. Precise diagnostic deliberation is crucial in the management and treatment of all chronic and long-term nonhealing lesions, and appropriately performed biopsies are essential to determine whether malignancy is the primary cause.

Keywords

colonic carcinoma retroperitoneal abscess skin fistula

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References

Morton

Phillips

TJ.

Wound healing and treating wounds: differential diagnosis and evaluation of chronic wounds. J Am Acad Dermatol. 2016;74:589-605.

Kobayashi

Sakurai

Shoji

et al . Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum. J Gastroenterol. 2001;36:623-628.

Marron

McArdle

Rao

Sinclair

Moorehead

Perforated carcinoma of the caecum presenting as necrotising fasciitis of the abdominal wall, the key to early diagnosis and management. BMC Surg. 2006;6:11.

Tsai

Hsieh

et al . Perforated colonic cancer presenting as intra-abdominal abscess. Int J Colorectal Dis. 2006;22:15-19.

Audia

Martha

Grappin

et al . Pyogenic psoas abscess: six cases and review of the literature [in French]. Rev Med Interne. 2006;27:828-835.

Vicente-Ruiz

Candel-Arenas

Ruiz-Marin

Pena-Ros

Sanchez-Cifuentes

Albarracin Marín-Blázquez

Psoas abscess as a differential diagnosis in emergency department [in Spanish]. Cir Cir. 2014;82:268-273.

Bogdanic

Augustin

Kekez

Mijatovic

Hlupic

Vanek

Perforated ascending colon cancer presenting as colocutaneous fistula with abscess to the anterior abdominal wall at the site of a cholecystectomy scar treated with biologic mesh. Coll Antropol. 2012;36:335-338.