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Peritoneal carcinomatosis mimicking a perforated diverticulitis
Olivier Facy1, Nicolas Lagoutte1, Brice Paquette1
1Department of Digestive Surgical Oncology, University Hospital of Dijon, France.
Clinics and Practice
|April 26, 2014
Summary
A rare case of pelvic abscess caused by pancreatic cancer-related peritoneal carcinomatosis is presented. Management involved radiological drainage and surgery for complicated diverticulitis.
Area of Science:
- Gastroenterology
- Oncology
- Surgical Pathology
Background:
- Pelvic abscesses can arise from various intra-abdominal pathologies.
- Pancreatic malignancy is a known cause of metastatic disease.
- Peritoneal carcinomatosis is the spread of cancer cells on the peritoneal surfaces.
Purpose of the Study:
- To report an extremely rare case of pelvic abscess secondary to pancreatic cancer.
- To discuss the diagnostic and management challenges of this rare presentation.
- To highlight the association between pancreatic malignancy and peritoneal carcinomatosis leading to intestinal perforation.
Main Methods:
- Case report detailing clinical presentation, diagnostic workup, and treatment.
- Review of relevant literature on pancreatic cancer, peritoneal carcinomatosis, and pelvic abscesses.
- Multidisciplinary team approach involving radiology, surgery, and oncology.
Main Results:
- A pelvic abscess was identified in a patient with a malignant pancreatic tumor.
- The abscess was confirmed to be caused by peritoneal carcinomatosis originating from the pancreas.
- The patient underwent radiological drainage and surgical intervention for complicated diverticulitis.
Conclusions:
- Pancreatic cancer can present with rare complications such as pelvic abscess due to peritoneal carcinomatosis.
- This case underscores the importance of considering uncommon etiologies in complex intra-abdominal infections.
- Early diagnosis and appropriate management are crucial for patients with pancreatic cancer and associated complications.
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