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

CT Abdomen and pelvis

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

Diagram

Diagram showing abdominal wall nodules

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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