Atypical Presentation for Colorectal Cancer

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Author Info

Wen Jye Wong

Corresponding Author

Wen Jye Wong
Department of General Surgery, Bundaberg Hospital, Bundaberg 4670, Queensland, Associate Lecturer, University of Queensland, Australia

A B S T R A C T

Bowel cancer is the second most common non-cutaneous cancer diagnosed in Australia in both the sexes. Australia has one of the highest incidence of bowel cancer in the world. Pyogenic liver abscess has been reported to be associated with malignancy especially hepatobiliary and colorectal cancer. A healthy 70 years old woman presented with non-specific symptoms which was initially thought to be secondary to haematological malignancy. Further investigation noted multiple large cystic and solid hepatic masses, which were suggestive of metastasis. However, hepatic lesions responded significantly with antibiotics which was in keeping with liver abscess instead. She was subsequently confirmed to have caecal adenocarcinoma with no distant metastasis. Although uncommon, pyogenic liver abscess can be the first presentation for colorectal malignancy. Colonoscopy is essential especially if no clear cause of liver abscess is identified.

Article Info

Article Type

Case Report

Publication history

Received: Tue 09, Jul 2019
Accepted: Fri 26, Jul 2019
Published: Fri 02, Aug 2019

Copyright

© 2023 Wen Jye Wong. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2019.04.05