Retroperitoneal Abscess due to Perforated Colon Cancer -Report of Three Cases-

Hiromi Nakayama, Koki Tanaka, Mitsunobu Uto, Akira Taira

Second Department of Surgery, Kagoshima University School of Medicine

Three cases of perforating colon cancer associated with a retroperitoneal abscess due to perforation are reported. Two of the cancers were primary and the other one was the result of metastasis from the uterus, for which hysterectomy had been performed three years earlier. Abscess drainage with right hemicolectomy in two patients and ileocaecal resection in one were performed with reasonable lymph node dissection. Clinical symptoms in these patients were mild when compared with those of perforation into the free abdominal cavity. Diagnosis, therefore, tended to be delayed until the condition became worse. Computerized tomography revealed the all aspects of the colon lesion. Radical treatment, as early as possible, is recommended.

Key words
retroperitoneal abscess, perforation of the colon carcinoma

Reprint requests
Hiromi Nakayama Second Department of Surgery, Kagosima University School of Medicine
8-35-1 Sakuragaoka, Kagoshima, 890 JAPAN

Accepted
May 13, 1992

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