Mithun Shriniwas Jakkan Introduction Iliopsoas abscess IPA has varied clinical symptomatology and various clinical disorders may mimic it.
Tuberculosis of spine is the most common source of secondary IPA in the developing countries. However, IPA may be rarely caused by colon cancer which is the most common gastrointestinal malignancy. A mixed culture gives an indication of gastrointestinal or genitourinary etiology.
We present here, a rare case of an year-old patient with IPA secondary to adenocarcinoma of cancer causing abdominal pain. Case Report An year-old female presented with pain in the right thigh in February Computed tomography CT scan and magnetic resonance imaging MRI of the abdomen confirmed the clinical suspicion of right IPA which was drained surgically.
Intraoperatively, mucinous material was noted, emerging from a small opening in a rounded structure located lateral to the psoas muscle, which could not be identified.
On cancer causing abdominal pain day 2, the right flank swelling recurred. Culture reports showed a polymicrobial infection with viridans group Streptococci and Pseudomonas aeruginosa. The abscess was re-explored and biopsy of the opening was taken. Histopathology of the tissue sample revealed metastatic cells of a mucin-secreting adenocarcinoma that had infiltrated the psoas muscle with a secondary pyogenic abscess.
On reviewing the CT scan, there was a suspicion that the abscess was communicating with a tumor in the colon. No further active intervention was done for the tumor in view of advanced age and stage of tumor.
Gastric Cancer (Stomach Adenocarcinomas, Lymphomas, GISTs And Carcinoids)
The patient had significant pain relief and was able to resume walking. The infection resolved with 6 weeks of oral linezolid and ciprofloxacin.
Then the symptoms are very painful and noticeable and it can affect your life. The best part of this is that the disease can be completely avoided if a person makes an effort to concentrate on their diet and eat a bit better in their lives. Diverticulosis and diverticulitis definition and facts A great many people with diverticulosis Diverticular illness have few or no cancer causing abdominal pain effects; in any case, indications that can happen with diverticulosis, which then might be called "Diverticular disease" incorporate Stomach pain, Constipation, and Diarrhea.
The patient died 8 months later secondary to metastasis. A Gram-negative culture must raise cancer causing abdominal pain suspicion of gastrointestinal or genitourinary pathology.
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Colon carcinoma, although extremely rare, can lead to secondary IPA. CT and MRI though extremely useful, may not pick up the pathology and a definitive diagnosis of colon neoplasia perforating into the psoas muscle may be evident only intraoperatively.
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Atypical presentation may delay the diagnosis of colon cancer and subsequently result in higher morbidity and mortality. View Show abstract Disfuncţiile pe termen lung pot apare şi ca o consecintă a dehiscenţei anastomozei. Complianţa rectală este diminuată 3 luni după opearaţie, dar revine la normal în aproximativ 12 luni [11, 19].
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Atât timp cât canalul anal şi musculatura sfincteriană a fost prezervată şi nu există anomalii anatomice, simptomele se rezolvă, de obicei în câteva luni. În general, se consideră că SPA apare la pacienţii care au dezvoltat iniţial o DA postoperatorie, însă, în cazul suturilor mecanice, SPA poate apare de novo.
Anastomoza colo-cutanată se stenozează progresiv, la luni postoperator; acest tip cancer causing abdominal pain anastomoză permite introducerea dilatatorului Hegar pentru ca la 12 luni să constatăm stenoza acesteia; în comparaţie cu acestea SPA după sutura mecanică înregistrează o frecvenţă crescută la luni postoperator, pentru ca incidenţa lor să scadă pe măsură ce ne îndepărtăm de momentul operator; rezultate similare au fost găsite şi în studiul efectuat de Luna-Perez în [15,16, 19, 22].
Tratamentul nechirurgical al SPA se bazează pe stimularea tranzitului intestinal — laxative, clisme, supozitoare. Rezultate asemănătoare au fost înregistrate de studiile efectuate de Nakafusa şi colab.