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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

Joint Event on

OF EXCELLENCE

IN INTERNATIONAL

MEETINGS

YEARS

Surgery and Anesthesia 2018 & Euro Gastro Congress 2018

Case Reports in Surgery and Invasive Procedures

Volume 2

GASTROENTEROLOGY

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

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.

BIOGRAPHY