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

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    Authors
    Murphy, K
    Chaudry, M
    Redmond, Hp
    Affiliation
    Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland. thekpm@gmail.com.
    Issue Date
    2009
    
    Metadata
    Show full item record
    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
    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
    ISSN
    1752-1947
    ae974a485f413a2113503eed53cd6c53
    10.1186/1752-1947-3-9
    Scopus Count
    Collections
    Cork University Hospital

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