https://doi.org/10.4081/ecj.2024.12552

An unusual initial presentation of colorectal cancer: abdominal wall and scrotal abscess associated with right ventricular metastasis

Vol. 20 No. 3 (2024)
Submitted: 8 April 2024
Accepted: 16 July 2024
Published: 23 July 2024
Colorectal cancer, abdominal wall abscess, scrotal abscess, cardiac metastasis, computed tomography
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Authors

Massimo Barakat
massimo.barakat@gmail.com
https://orcid.org/0009-0002-4851-9955
Pediatric and Adult Cardiothoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy.

A 56-year-old man presented to the emergency department with a painful abdominal lump with redness of the overlying skin in the right iliac fossa, swelling, and redness of the scrotum. Laboratory tests revealed a marked increase in white blood cell count (50.73x109/L), neutrophil count (48.18x109/L), and C-reactive protein levels (37.36 mg/dL). Abdominal contrast-enhanced Computed Tomography (CT) scan showed a voluminous neoplastic lesion involving the ascending colon, the cecum, and the last ileal loop, which was in communication with a large abscess located in the anterior abdominal wall and extended craniocaudal up to the right scrotum; a mass within the right ventricle was also seen. The patient underwent a right hemicolectomy and a right orchiectomy. Histological examination revealed a low-grade mucinous adenocarcinoma of the right colon as well as a significant abscess of the right testis' tunica vaginalis. The patient died one month after surgery.

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How to Cite

Barakat, M. (2024). An unusual initial presentation of colorectal cancer: abdominal wall and scrotal abscess associated with right ventricular metastasis . Emergency Care Journal, 20(3). https://doi.org/10.4081/ecj.2024.12552
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