Abstract
A 74-year-old woman was admitted to the hospital because of an abdominal reddish mass under the umbilicus and fever which developed after abdominal pain lasting for 14 days. An abdominal CT showed an abscess which was adjacent to the transverse colon and extended from the peritoneal cavity to the abdominal wall. We tried a conservative therapy using antibiotics, but the abdominal wall abscess still enlarged. Drainage of the abscess was performed. Oral intake was started, but she had the onset of ileus. An ileus tube device was dffective, but a gastrographin enema revealed stenosis of the transverse colon. We diagnosed the case as transverse colon cancer with an abdominal wall abscess and ileus. On the 33rd hospital day, transverse colectomy with the omentum and lymph node dissection was carried out. The pathological diagnosis was type 2, well-differentiated adenocarcinoma of the transverse colon. The carcinoma had invaded the omentum without lymph node metastasis. Adjuvant chemotherapy was performed and the patient was discharged on the 76th hospital day. She has remained in good health without recurrence 18 months after the surgery. We reviewed a total of 22 domestic cases of transverse colon cancer with an abdominal wall abscess, including our case.
