Journal of Gastrointestinal Cancer

, Volume 41, Issue 4, pp 285–287 | Cite as

Right Gluteal Abscess: An Unusual Presentation of Perforated Caecal Adenocarcinoma

  • Shailesh K. MohandasEmail author
  • Felix Mazarello
  • Rob Bisset
Brief Communication



Colonic cancer presenting as a remote abscess in the gluteal region, abdominal wall, retroperitoneal region, groin or thigh is rare.

Case Report

We report a case of advanced carcinoma of the caecum in an elderly lady without bowel symptoms presenting as right gluteal abscess.


In the differential diagnosis of gluteal/ upper thigh abscess the rare possibility of colonic cancer perforation as a cause should be considered.


gluteal abscess colonic adenocarcinoma perforated colonic cancer retroperitoneal abscess 


  1. 1.
    Anwar MA, D’Souza F, Coulter R, Memon B, et al. Outcome of acutely perforated colorectal cancers: experience of a single district general hospital. Surg Oncol. 2006;15:91–6.CrossRefPubMedGoogle Scholar
  2. 2.
    Chen HS, Sheen-Chen SM. Obstruction and perforation in colorectal adenocarcinoma: an analysis of prognosis and current trends. Surgery. 2000;127:370–6.CrossRefPubMedGoogle Scholar
  3. 3.
    Kelley Jr WE, Brown PW, Lawrence Jr W, Terz JJ. Penetrating, obstructing and perforating carcinomas of the colon and rectum. Arch Surg. 1981;116:381–4.PubMedGoogle Scholar
  4. 4.
    Donaldson GA. The management of perforative carcinoma of the colon. N Engl J Med. 1958;258:201–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Miller LD, Boruchow IB, Fitts Jr WT. An analysis of 284 patients with perforative carcinoma of the colon. Surg Gynecol Obstet. 1966;123:1212–8.PubMedGoogle Scholar
  6. 6.
    Devitt JE, Roth-Moyo LA, Brown FN. Perforation complicating adenocarcinoma of the colon and rectum. Can J Surg. 1970;13:9–12.PubMedGoogle Scholar
  7. 7.
    Welch JP, Donaldson GA. Perforative carcinoma of the colon and rectum. Ann Surg. 1974;180:734–40.CrossRefPubMedGoogle Scholar
  8. 8.
    Fazio VW, Church JM, Delaney CP. Current therapy in colon and rectal surgery, vol. 64. St. Louis: Mosby; 2005. p. 379–88.Google Scholar
  9. 9.
    Devita Jr VT, Hellman S, Rosenberg SA. Cancer, principles & practice of oncology. 7th ed. Philadelphia: Lippincott Williams and Wilkins; 2005.Google Scholar
  10. 10.
    Mandava N, Kumar S, Pizzi WF, Aprile IJ. Perforated colorectal carcinomas. Am J Surg. 1996;172:236–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Kobayashi H, Sakurai Y, Shoji M, et al. J Gastroenterol. 2001;36:623–8.CrossRefPubMedGoogle Scholar
  12. 12.
    Sinha DD, Sharma C, Gupta V, Chaturvedi V, Sharma V. Post traumatic retroperitoneal colonic injury presenting as gluteal abscess. Indian J Gastroenterol. 2004;23:151.PubMedGoogle Scholar
  13. 13.
    Spedding RL, Walsh IK. Retroperitoneal abscess presenting with a buttock swelling and anaemia. J Emerg Med. 1999;16:302–3.CrossRefGoogle Scholar
  14. 14.
    Srikanth B, Sai Sankar N, Kong KC, Bassily AA. Lessons to be learned: a case study approach: Metastatic brochogenic carcinoma presenting as a gluteal abscess. J R Soc Promot Health. 1999;119(4):264–7.CrossRefPubMedGoogle Scholar
  15. 15.
    Meyer HI. The reaction of the retroperitoneal tissues to infection. Am Surg. 1934;99:246–50.Google Scholar
  16. 16.
    Maglinte DDT, Pollack HM. Retroperitoneal abscess: a presentation of colon carcinoma. Gastrointest Radiol. 1983;8:171–81.CrossRefGoogle Scholar
  17. 17.
    Tsukuda K, Ikeda E, Miyake T, Ishihama Y, et al. Abdominal wall and thigh abscess resulting from penetration of ascending colon cancer. Acta Med Okayama. 2005;59(6):281–3.PubMedGoogle Scholar
  18. 18.
    Wolverson MK, Jagannadharao B, Sundaram M, Heiberg E, Grider R. Computed tomography in the diagnosis of gluteal abscess and other peripelvic fluid collections. J Comput Assist Tomogr. 1981;5(1):34–8.CrossRefPubMedGoogle Scholar
  19. 19.
    Leu SY, Leonard MB, Beart Jr RW, Dozois RR. Psoas abscess – changing patterns of diagnosis and etiology. Dis Colon Rectum. 1986;29:694–8.CrossRefPubMedGoogle Scholar
  20. 20.
    Willett CG, Goldberg S, Shellito PC, Groosbard M, Clark J, Fung C, et al. Does post operative irradiation play a role in the adjuvant therapy of stage T4 colon cancer? Cancer J Sci Am. 1999;5(4):242–7.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Shailesh K. Mohandas
    • 1
    Email author
  • Felix Mazarello
    • 2
  • Rob Bisset
    • 2
  1. 1.Royal Surrey County HospitalSurreyUK
  2. 2.Trafford General HospitalManchesterUK

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