What is it about?
Although colonic tumour perforation is rare (2.6-9% of all colon cancers), it is associated with a high morbidity and mortality rate of around 30-40% and 10-12% respectively.
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Why is it important?
This complication is unique to mucinous carcinomas, which are characterised by local aggressiveness and frequent recurrence after surgical resection. In this paper, we present two observations of perforated colonic tumours operated on in two different circumstances, and which had two equally different outcomes. This entity poses two major therapeutic problems for the surgeon. One is neoplastic (the tumour), the other septic (peritonitis). The spread of this infection to the anterior abdominal wall, or to the lower limb in some cases, further complicates therapeutic management.
Perspectives
Right-sided colonic tumour perforation is a rare and misleading complication of colon cancer. In addition to its diagnostic problem, this entity presents two major therapeutic problems for the surgeon. Firstly, treatment of the peritonitis, and secondly, treatment of the cancer.
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Read the Original
This page is a summary of: Caecal Tumour Perforation. A Case Series and Litterature Review, Journal of Case Reports and Medical History, December 2024, Acquire Publications LLC,
DOI: 10.54289/jcrmh2400154.
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