Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2014 Jul-Aug;99(4):371-3.
doi: 10.9738/INTSURG-D-13-00116.1.

Carcinoma cecum presenting as right gluteal abscess through inferior lumbar triangle pathway--report of a rare case

Vilvapathy Senguttuvan Karthikeyan  1 , Sarath Chandra Sistla, Duvuru Ram, Sheik Manwar Ali, Sugi Subramaniam Raghavan Velayutham, Nandhagopal Vijayaraghavan
Affiliations
Case Reports

Carcinoma cecum presenting as right gluteal abscess through inferior lumbar triangle pathway--report of a rare case

Vilvapathy Senguttuvan Karthikeyan et al. Int Surg. 2014 Jul-Aug.

Abstract

Gluteal abscess commonly follows intramuscular injections with contaminated needles. Carcinoma cecum is known to present with pericolic abscess due to microperforations and may rupture intraperitoneally. Gluteal abscess secondary to perforated carcinoma cecum with pericolic abscess is extremely uncommon. A 50-year-old woman who was receiving intramuscular iron injections for anemia presented with a 10×10-cm abscess in the right gluteal region and a vague mass in the right iliac fossa. After investigations, a diagnosis of perforated carcinoma cecum with pericolic abscess tracking into the right gluteal region was made, and incision and drainage were done. Fine-needle aspiration cytology from the cecal growth revealed adenocarcinoma. Unfortunately, the patient was not willing to undergo definitive treatment. This case is being reported for its rarity and as an uncommon etiology for a common condition.

Keywords: Carcinoma cecum; Gluteal abscess; Inferior lumbar triangle.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Contrast-enhanced computed tomogram of the abdomen showing cecal wall thickening, with collection in the iliopsoas region tracking into the subcutaneous plane (arrow).
See this image and copyright information in PMC

References

    1. Wolverson MK, Jagannadharao B, Sundaram M, et al. Computed tomography in the diagnosis of gluteal abscess and other peripelvic fluid collections. J Comput Assist Tomogr. 1981;5(1):34–38. - PubMed
    1. Tsukuda K, Ikeda E, Miyake T, et al. Abdominal wall and thigh abscess resulting from the penetration of ascending colon cancer. Acta Med Okayama. 2005;59(6):281–283. - PubMed
    1. Fotiadis C, Macheras A, Charalampopoulos A, Karatzas G. Perforated cecal carcinoma presenting as a retroperitoneal abscess. Ann Gastroenterol. 2004;17(4):410–412.
    1. Anwar MA, D'Souza F, Coulter R, et al. Outcome of acutely perforated colorectal cancers: experience of a single district general hospital. Surg Oncol. 2006;15(2):91–96. - PubMed
    1. Chen HS, Sheen-Chen SM. Obstruction and perforation in colorectal adenocarcinoma: an analysis of prognosis and current trends. Surgery. 2000;127(4):370–376. - PubMed

Publication types