Abdominal wall recurrence after colorectal resection for cancer

Case contributed by Dr Bruno Di Muzio

Presentation

New oncologic staging motivated by elevation of CEA.

Patient Data

Age: 69 years
Gender: Male

CT Abdomen and pelvis

Modality: CT

There are multiple enhancing abdominal wall nodules located at the laparotomy scar and stoma. There are also enlarged right inguinal lymph nodes. 

Diagram showing abdominal wall nodules

Modality: Diagram

Red arrows: enhancing abdominal wall nodules located at the laparotomy scar and stoma. 

Case Discussion

Colorectal cancer recurrences in the abdominal wall have been reported to occur in approximately 60% of patients with advanced disease. It is important to look for intra-abdominal recurrence in these cases. 

Recent studies show a similar incidence of these metastases after open or laparoscopic surgery (recurrence rates are 0.60% and 0.85%, respectively). 

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Case Information

rID: 23444
Case created: 16th Jun 2013
Last edited: 9th Sep 2015
Inclusion in quiz mode: Included

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