Early rectal cancer accompanied by multiple systemic abscesses: A case report

Tajima,Takayuki; Mukai,Masaya; Hasegawa,Sayuri; Yamamoto,Souichirou; Nomura,Eiji; Tajiri,Takuma; Sadahiro,Sotaro; Yasuda,Seiei; Makuuchi,Hiroyasu

doi:10.3892/ol.2015.3500

Early rectal cancer accompanied by multiple systemic abscesses: A case report

Authors:
- Takayuki Tajima
- Masaya Mukai
- Sayuri Hasegawa
- Souichirou Yamamoto
- Eiji Nomura
- Takuma Tajiri
- Sotaro Sadahiro
- Seiei Yasuda
- Hiroyasu Makuuchi
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Affiliations: Department of Surgery, Tokai University School of Medicine, Isehara, Kanagawa 259‑1193, Japan, Department of Surgery, Tokai University Hachioji Hospital, Hachioji, Tokyo 192‑0032, Japan, Department of Pathology, Tokai University Hachioji Hospital, Hachioji, Tokyo 192‑0032, Japan
Published online on: July 16, 2015 https://doi.org/10.3892/ol.2015.3500
Pages: 2219-2222

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Abstract

A 70-year-old man undergoing treatment for diabetes presented with a cough and pyrexia that has lasted one week. Laboratory tests demonstrated evidence of inflammation. The patient was hospitalized and antibiotic treatment was initiated, but the condition of the patient did not improve. After 2 weeks, computerized tomography scanning demonstrated the presence of multiple small nodules in the lungs and a liver abscess. The patient also developed neck pain and numbness of the upper extremities and was then transferred to Tokai University Hachioji Hospital (Tokyo, Japan). Percutaneous transhepatic drainage (PTD) of the liver abscess was performed and antibiotic treatment was initiated. Detailed examination revealed there was pyogenic spondylitis of the cervical spine, therefore abscess drainage and an anterior cervical spinal fusion were performed. Culture of each lesion resulted in Klebsiella pneumoniae growth. While continuing antibiotic treatment and rehabilitation, the gastrointestinal tract was investigated and evidence of early rectal cancer was observed. The pulmonary nodules disappeared during treatment, indicating that these were multiple lung abscesses. Four weeks following abscess drainage and anterior cervical spinal fusion, lower anterior resection was performed. The present case report describes a patient who developed multiple abscesses associated with early rectal cancer and discusses the case with reference to the literature.

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