P. Xekouki, I. Papandreou, G. Chamalakis, G.C. Zografos, C.I. Fotiadis, I.A. Kouerinis,SUMMARY Non-traumatic colon perforation may be the result of an advanced carcinoma, diverticulitis or inflammatory bowel disease. Such perforations are rarely observed in the splenic flexure and in special cases mimic pancreatic pseudocysts or abscesses. On the other hand colonic perforation is an uncommon but potentially lethal complication of a pancreatic abscess. Several diagnostic and treatment dilemmas the surgeon has to face as soon as the diagnosis of a splenic flexure abscess has been made are: Is the pancreas or the colon the origin of this lesion? Should endoscopic drainage or operation be performed? And if operation, what kind in such a critically ill patient? Here we report a new case of a perforated colon cancer located in the splenic flexure and mimicking a peripancreatic abscess which was initially misinterpreted as a contaminated pancreatic pseudocyst.application/pdfhttp://www.annalsgastro.gr/index.php/annalsgastro/article/view/380engHellenic Society of Gastroenterology1792-74631108-7471Annals of Gastroenterology; Volume 17, No 2 (2004)Perforated colon cancer mimicking contaminated pancreatic pseudocyst: The treatment dilemma under urgent laparotomyinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion2007-03-19Δημοσίευση σε περιοδικόPublication in journalΓαστροεντερολογίαGastroenterologyisi -Gastroenterology & Hepatology covers resources on the anatomy, physiology, biochemistry, and pathology of the digestive system. This category includes specific resources on the prognosis and treatment of digestive diseases; stomach ulcers; metabolic, genetic, infectious and chemically induced diseases of the liver; colitis; diseases of the pancreas and diseases of the rectum.Επιστημονικό άρθροScientific articleΕλληνική Γαστροεντερολογική ΕταιρίαGreek Aggregator OpenArchives.gr | National Documentation Centre (EKT)other