A colonic splenic flexure tumour presenting as an empyema thoracis: a case report.

Hdl Handle:
http://hdl.handle.net/10147/201251
Title:
A colonic splenic flexure tumour presenting as an empyema thoracis: a case report.
Authors:
Murphy, K; Chaudry, M; Redmond, Hp
Affiliation:
Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland. thekpm@gmail.com.
Citation:
A colonic splenic flexure tumour presenting as an empyema thoracis: a case report. 2009, 3:9 J Med Case Reports
Journal:
Journal of medical case reports
Issue Date:
2009
URI:
http://hdl.handle.net/10147/201251
DOI:
10.1186/1752-1947-3-9
PubMed ID:
19144103
Additional Links:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2629468/pdf/1752-1947-3-9.pdf; http://www.jmedicalcasereports.com/content/pdf/1752-1947-3-9.pdf
Abstract:
The case report describes the rare presentation of a 79-year-old patient with a locally perforated splenic flexure tumour of the colon presenting with an apparent empyema thoracis in the absence of abdominal signs or symptoms.; Initial presentation was with a non-productive cough, anorexia and general malaise. An admission chest X-ray and subsequent computed tomographic image of the thorax showed a loculated pleural effusion consistent with an empyema. The computed tomography also showed a thickened splenic flexure. Thoracotomy was performed and a defect in the diaphragm was revealed after the abscess had been evacuated. A laparotomy was carried out at which point a tumour of the splenic flexure of the colon was found to be invading the spleen and locally perforated with subsequent collection in communication with the thorax. The tumour and spleen were resected and a transverse end colostomy was fashioned.; One must consider the diagnosis of pathology inferior to the diaphragm when an apparent empyema thoracis is encountered even in the absence of clinical signs or symptoms.
Item Type:
Article
Language:
en
Description:
INTRODUCTION: The case report describes the rare presentation of a 79-year-old patient with a locally perforated splenic flexure tumour of the colon presenting with an apparent empyema thoracis in the absence of abdominal signs or symptoms. CASE PRESENTATION: Initial presentation was with a non-productive cough, anorexia and general malaise. An admission chest X-ray and subsequent computed tomographic image of the thorax showed a loculated pleural effusion consistent with an empyema. The computed tomography also showed a thickened splenic flexure. Thoracotomy was performed and a defect in the diaphragm was revealed after the abscess had been evacuated. A laparotomy was carried out at which point a tumour of the splenic flexure of the colon was found to be invading the spleen and locally perforated with subsequent collection in communication with the thorax. The tumour and spleen were resected and a transverse end colostomy was fashioned. CONCLUSION: One must consider the diagnosis of pathology inferior to the diaphragm when an apparent empyema thoracis is encountered even in the absence of clinical signs or symptoms.
ISSN:
1752-1947

Full metadata record

DC FieldValue Language
dc.contributor.authorMurphy, Ken
dc.contributor.authorChaudry, Men
dc.contributor.authorRedmond, Hpen
dc.date.accessioned2012-01-10T12:58:13Z-
dc.date.available2012-01-10T12:58:13Z-
dc.date.issued2009-
dc.identifier.citationA colonic splenic flexure tumour presenting as an empyema thoracis: a case report. 2009, 3:9 J Med Case Reportsen
dc.identifier.issn1752-1947-
dc.identifier.pmid19144103-
dc.identifier.doi10.1186/1752-1947-3-9-
dc.identifier.urihttp://hdl.handle.net/10147/201251-
dc.descriptionINTRODUCTION: The case report describes the rare presentation of a 79-year-old patient with a locally perforated splenic flexure tumour of the colon presenting with an apparent empyema thoracis in the absence of abdominal signs or symptoms. CASE PRESENTATION: Initial presentation was with a non-productive cough, anorexia and general malaise. An admission chest X-ray and subsequent computed tomographic image of the thorax showed a loculated pleural effusion consistent with an empyema. The computed tomography also showed a thickened splenic flexure. Thoracotomy was performed and a defect in the diaphragm was revealed after the abscess had been evacuated. A laparotomy was carried out at which point a tumour of the splenic flexure of the colon was found to be invading the spleen and locally perforated with subsequent collection in communication with the thorax. The tumour and spleen were resected and a transverse end colostomy was fashioned. CONCLUSION: One must consider the diagnosis of pathology inferior to the diaphragm when an apparent empyema thoracis is encountered even in the absence of clinical signs or symptoms.en
dc.description.abstractThe case report describes the rare presentation of a 79-year-old patient with a locally perforated splenic flexure tumour of the colon presenting with an apparent empyema thoracis in the absence of abdominal signs or symptoms.-
dc.description.abstractInitial presentation was with a non-productive cough, anorexia and general malaise. An admission chest X-ray and subsequent computed tomographic image of the thorax showed a loculated pleural effusion consistent with an empyema. The computed tomography also showed a thickened splenic flexure. Thoracotomy was performed and a defect in the diaphragm was revealed after the abscess had been evacuated. A laparotomy was carried out at which point a tumour of the splenic flexure of the colon was found to be invading the spleen and locally perforated with subsequent collection in communication with the thorax. The tumour and spleen were resected and a transverse end colostomy was fashioned.-
dc.description.abstractOne must consider the diagnosis of pathology inferior to the diaphragm when an apparent empyema thoracis is encountered even in the absence of clinical signs or symptoms.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2629468/pdf/1752-1947-3-9.pdfen
dc.relation.urlhttp://www.jmedicalcasereports.com/content/pdf/1752-1947-3-9.pdfen
dc.titleA colonic splenic flexure tumour presenting as an empyema thoracis: a case report.en
dc.typeArticleen
dc.contributor.departmentDepartment of Surgery, Cork University Hospital, Wilton, Cork, Ireland. thekpm@gmail.com.en
dc.identifier.journalJournal of medical case reportsen
dc.description.provinceMunster-

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