Clinical Image - Volume 2 - Issue 6
Recurrent Adenocarcinoma from the Drain Site
Mohamed Shafi Bin Mahboob Ali
Department of Surgery, School of Medical Sciences, University Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Received Date : Sep 26, 2022
Accepted Date : Oct 29, 2022
Published Date: Nov 18, 2022
Copyright:© Mohamed Shafi Bin Mahboob Al 2022
A 42 year old gentleman who had a recto-sigmoid carcinoma and was operated six months ago presented with a fungating lesion at the right iliac fossa region. The fungating lesion was about 5x5 cm in size with contact bleeding. The patient defaulted his chemotherapy regime and claimed that the lesion grew in size progressively over the time. Onfuther examination we noted that the lesion was originating from the previous blake drain site that was inserted during the first operation. Biopsy of the lesion done and it confirms that it is adenocarcinoma from the colon. The patient was subjected to CT scan for re-staging and was referred to the oncology team for further management. This is a rare occasion where the tumor recur from the drain site probably due to tumor seeding from the previous operation.
Figure 1: Picture showing fungating tumor from the previous drain site.