What Can We Find Behind a Parietal Abscess? Case Report

Area of Science:

• Gastroenterology
• Surgical Oncology

Background:

• Advanced colorectal cancer can present with rare complications.
• Enterocutaneous fistulas are uncommon manifestations of sigmoid malignancies.

Observation:

• A 71-year-old female presented with a left iliac fossa mass discharging feculent material.
• History included constipation, hematochezia, and weight loss, suggesting advanced disease.

Findings:

• Diagnosis was an enterocutaneous fistula secondary to locally advanced sigmoid cancer.
• Successful semi-elective resection of the tumor, lymph nodes, and abdominal wall was performed.
• A termino-terminal colo-rectal anastomosis achieved a favorable postoperative outcome.

Implications:

• This case underscores the diagnostic and therapeutic challenges in managing advanced colorectal cancer presenting as a parietal abscess.
• Highlights the importance of considering rare presentations in surgical oncology.
• Emphasizes the need for prompt surgical management in complex cases.