2018 Volume 51 Issue 4 Pages 308-317
A 66-year-old man who was planning on getting surgery for sigmoid colon cancer with invasion of abdominal wall developed abdominal fullness, redness and swelling of the left lower abdomen a few days before hospitalization. He developed abscess of the abdominal wall around the part infiltrated by the tumor, and subcutaneous emphysema of the neck and the chest at the time of admission. Transverse colostomy and incisional drainage was performed. Forty two days after the first surgery when the general condition became stable, sigmoid colectomy and resection of the abdominal wall were performed. The abdominal wall defect was 13×17 cm in size, and was reconstructed using a pedicled tensor fascia latae myocutaneous flap. Distant metastasis is reported to be rare in spite of locally aggressiveness in patients with colorectal cancer invading the abdominal wall. If a tumor can be removed radically, the outcome is sometimes good. Even though a curative resection required resection of the extensive abdominal wall, we consider that surgical treatment is recommended if the abdominal wall defect can be reconstructed using a myocutaneous flap.
