Delayed Port Site Abscess After Laparoscopic Colectomy Mimicking Port Site Recurrence
Tanaka T*, Nishikawa T, Tanaka J, Kiyomatsu T, Hata K, Kawai K, Nozawa H, Kazama S, Yamaguchi H, Ishihara S, Sunami E and Watanabe T
Department of Surgical Oncology, University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, Japan
- *Corresponding Author:
- Tanaka T
Department of Surgical Oncology
University of Tokyo, Tokyo, Japan
E-mail: [email protected]
Received Date: August 07, 2014; Accepted Date: August 10, 2014; Published Date: August 14, 2014
Citation: Tanaka T, Nishikawa T, Tanaka J, Kiyomatsu T, Hata K, et al. (2014) Delayed Port Site Abscess After Laparoscopic Colectomy Mimicking Port Site Recurrence . Transl Med (Sunnyvale) 4:135. doi:10.4172/2161-1025.1000135
Copyright: © 2014 Tanaka T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A 72-year-old man presented with persistent pain at the port site at the right lower abdomen 3 months after laparoscopic low anterior resection for rectal cancer. His serum CEA, CA19-9, and C-reactive protein levels were within normal limits. Computed tomography revealed an irregular capsulized subcutaneous mass in the right lower quadrant. To arrive at a differential diagnosis of port site abscess or port site recurrence, we biopsied the lesion. Pathological examination showed granulomatous inflammation of the subcutaneous tissue, suggesting abscess of the port site. Delayed port site abscess after laparoscopic colorectal resection is a rare clinical manifestation and sometimes difficult to discriminate from port site recurrence. Therefore, complete resection by securing an adequate surgical margin is essential to prevent in case definitive preoperative diagnosis is not obtained.