Perforated colon cancer mimicking contaminated pancreatic pseudocyst: The treatment dilemma under urgent laparotomy

 
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2007 (EN)
Perforated colon cancer mimicking contaminated pancreatic pseudocyst: The treatment dilemma under urgent laparotomy (EN)

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. (EN)

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Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Society of Gastroenterology (EN)

2007-03-19


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 17, No 2 (2004) (EN)



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