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Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1782
Damiano BISOGNI, Lorenzo DIOSCORIDI, Federica TOFANI, Alessandro FRANCIA, Carlo PAPAROZZI
SOD Chirurgia Generale ad indirizzo oncologico e funzionale, Dipartimento di Chirurgia e Medicina Traslazionale, AOUC, Firenze, Italia
Right colon cancers make up about 30% of colorectal cancers. A quite rare complication of these neoplasms is subphrenic abscess, with subsequent hepatic hepatic fistulas. Authors report the case of a 87 years old patient presenting our attention beacause of an oppressive abdominal pain and hematochezia for about a year. Colonoscopy documented a vegetating and stenosing tumor at the level of the distal half of the transverse colon and CT-colonography showed a lesion extending from the ileocecal valve till the hepatic flexure, with a possible fistulas with VI hepatic segment. The symptoms of the patient, together with the radiological images, seemed to lay an abscess-cancer. During the surgical operation the Authors observed an extensive infiltration of the sixth hepatic segment with no abscess or fistulas. The differential diagnosis between abscess-carcinoma and cancer invading neighboring structures is therefore very complex, and only partially solved by colon-TC.