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N o v e m b e r 1 2 - 1 3 , 2 0 1 8 | R o m e , I t a l y
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Surgery and Anesthesia 2018 & Euro Gastro Congress 2018
Case Reports in Surgery and Invasive Procedures
|
Volume 2
&
GASTROENTEROLOGY
3
rd
International Conference on
SURGERY AND ANESTHESIA
International Conference on
Tarik Ibrahem Ali, Case Rep Surg Invasive Proced 2018, Volume 2
ENTEROCUTANEOUS FISTULA DUE TO
COLON CANCER PRESENTED AS
PARA-UMBILICAL SWELLING
Tarik Ibrahem Ali
National Defense University Malaysia (UPNM), Malaysia
A
41-year-old pregnant women complained from a per-umbilical swelling,
for nearly five months, according to ultra-sound study she underwent a
surgical drainage operation for a supposed inflammatory condition near the
umbilicus, patient returned after a week post-operatively with a faecal dis-
charging fistula, the fistula was managed by using a colostomy back for one
month, then she had an emergency lower caesarian section plus bilateral
tubal ligation because of transverse lie of baby. In a month time the fistula
opening shows a big protruding ulcerating mass. CT scan of abdomen and
pelvis was done confirm the presence of a large central abdominal mass ex-
tended through and ulcerated at the umbilical region. The definitive surgical
Operation was done to remove a huge tumour of the transverse colon with the
malignant fistulous tract at the anterior abdominal wall and the involved rec-
tus abdominis muscle. Histopathology examination of the surgical specimen
proves it as a Mucinous adenocarcinoma, moderately differentiated.
Tarik Ibrahem Ali is currently working in National Defense
University Malaysia (UPNM), Malaysia.
tarikali@unisza.edu.myBIOGRAPHY