Basaloid (Cloacogenic) Carcinoma Mimicking Intraabdominal Abscess: Report of a Case and Review of the Literature

Cloacogenic carcinoma (CC, basaloid carcinoma) generally occurs around the dentate line, rarely it can arise from the other sides of the colon. There are only 5 cases of CC located outside the anal canal in the literature. The first occurrence of a CC presents as intraabdominal abscess. We describe...

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Main Authors: Sami Akbulut, Bahri Cakabay, Arsenal Sezgin, Cihan Akgul Ozmen
Format: Article
Language:English
Published: Karger Publishers 2009-08-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:http://www.karger.com/Article/FullText/229755
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author Sami Akbulut
Bahri Cakabay
Arsenal Sezgin
Cihan Akgul Ozmen
author_facet Sami Akbulut
Bahri Cakabay
Arsenal Sezgin
Cihan Akgul Ozmen
author_sort Sami Akbulut
collection DOAJ
description Cloacogenic carcinoma (CC, basaloid carcinoma) generally occurs around the dentate line, rarely it can arise from the other sides of the colon. There are only 5 cases of CC located outside the anal canal in the literature. The first occurrence of a CC presents as intraabdominal abscess. We describe a 23-year-old male patient who was admitted with fever and severe abdominal pain. Computed tomography imaging showed diffuse wall thickening about 10–11 cm above the rectosigmoid junction, intraabdominal abscess and a soft tissue lession covering the pelvis with a size of 8 × 8.5 cm including cystic necrotic areas. We performed Hartman procedure since the mass was nonresectable. Histopathological examination showed CC. In total, three times radiotherapy and a concurrent three-drug regimen of irinotecan, fluorouracil and folinic acid chemotherapy were administered for 6 weeks. As a result, the patient was lost because of multiple organ dysfunction syndrome that developed 3 months after radio-chemotherapy.
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spelling doaj.art-9a190a68d7b141be92804395ebcbfdde2022-12-21T22:46:22ZengKarger PublishersCase Reports in Gastroenterology1662-06312009-08-013224825410.1159/000229755229755Basaloid (Cloacogenic) Carcinoma Mimicking Intraabdominal Abscess: Report of a Case and Review of the LiteratureSami AkbulutBahri CakabayArsenal SezginCihan Akgul OzmenCloacogenic carcinoma (CC, basaloid carcinoma) generally occurs around the dentate line, rarely it can arise from the other sides of the colon. There are only 5 cases of CC located outside the anal canal in the literature. The first occurrence of a CC presents as intraabdominal abscess. We describe a 23-year-old male patient who was admitted with fever and severe abdominal pain. Computed tomography imaging showed diffuse wall thickening about 10–11 cm above the rectosigmoid junction, intraabdominal abscess and a soft tissue lession covering the pelvis with a size of 8 × 8.5 cm including cystic necrotic areas. We performed Hartman procedure since the mass was nonresectable. Histopathological examination showed CC. In total, three times radiotherapy and a concurrent three-drug regimen of irinotecan, fluorouracil and folinic acid chemotherapy were administered for 6 weeks. As a result, the patient was lost because of multiple organ dysfunction syndrome that developed 3 months after radio-chemotherapy.http://www.karger.com/Article/FullText/229755p63Cloacogenic carcinomaHigh-molecular-weight cytokeratin
spellingShingle Sami Akbulut
Bahri Cakabay
Arsenal Sezgin
Cihan Akgul Ozmen
Basaloid (Cloacogenic) Carcinoma Mimicking Intraabdominal Abscess: Report of a Case and Review of the Literature
Case Reports in Gastroenterology
p63
Cloacogenic carcinoma
High-molecular-weight cytokeratin
title Basaloid (Cloacogenic) Carcinoma Mimicking Intraabdominal Abscess: Report of a Case and Review of the Literature
title_full Basaloid (Cloacogenic) Carcinoma Mimicking Intraabdominal Abscess: Report of a Case and Review of the Literature
title_fullStr Basaloid (Cloacogenic) Carcinoma Mimicking Intraabdominal Abscess: Report of a Case and Review of the Literature
title_full_unstemmed Basaloid (Cloacogenic) Carcinoma Mimicking Intraabdominal Abscess: Report of a Case and Review of the Literature
title_short Basaloid (Cloacogenic) Carcinoma Mimicking Intraabdominal Abscess: Report of a Case and Review of the Literature
title_sort basaloid cloacogenic carcinoma mimicking intraabdominal abscess report of a case and review of the literature
topic p63
Cloacogenic carcinoma
High-molecular-weight cytokeratin
url http://www.karger.com/Article/FullText/229755
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AT arsenalsezgin basaloidcloacogeniccarcinomamimickingintraabdominalabscessreportofacaseandreviewoftheliterature
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