PMC7652707_01
Enhanced CT scan demonstrates a transverse colon tumor (A) with liver abscess (B).
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C-reactive protein 24.52 mg/dL, hemoglobin 8.2 mg/dL, carcinoembryonic antigen 8.9 mg/dL, and CA19-9 level 22.4 mg/dL. Computed tomography (CT) revealed a 10 cm in diameter liver abscess and inflammation of the colon (Fig. 1).
Type 2 tumor was identified in the transverse colon. (A) Lower gastrointestinal endoscopy. (B) Gastrointestinal endoscopy angiography. Pathologic finding revealed well-differentiated adenocarcinoma.
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The endoscope was passable, but the tract was becoming narrower (Fig. 2).
Percutaneous transhepatic drainage of the liver abscess (7 French pigtail catheter) was performed 2 weeks after the start of treatment.
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PTAD was performed because antibiotic treatment alone was not sufficient to cure the liver abscess (Fig. 3).
Resected specimen. T, Type2; 50 x 45 mm, tub1, stage pT3, INFb, ly1a, v0, Pn0, pN0, pPM0, pDM0, pStageIIa.
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Approximately 4 weeks after the start of treatment, the patient underwent standby surgery for transverse colon cancer (hepatic flexure; Fig. 4), consisting of laparoscopic converted to open right hemi-colectomy (D3).