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    Surgical management of intertumor abscesses caused by fistulous communications with the intestine: rare complication in pediatric malignant tumor: 2 case reports

    Authors:

    Naonori Kawakubo ,

    Department of Pediatric Surgical Oncology, National Cancer Center Hospital, Tokyo; Department of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, JP
    About Naonori

    MD, PhD

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    Tomoro Hishiki,

    Department of Pediatric Surgical Oncology, National Cancer Center Hospital, Tokyo, JP
    About Tomoro

    MD, PhD

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    Nami Shirakawa,

    Department of Pediatric Oncology, National Cancer Center Hospital, Tokyo, JP
    About Nami

    MD

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    Ayumu Arakawa,

    Department of Pediatric Oncology, National Cancer Center Hospital, Tokyo, JP
    About Ayumu

    MD

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    Shunsuke Sugawara,

    Department of Diagnostic Radiology, National Cancer Center Hospital, Tokyo, JP
    About Shunsuke

    MD, PhD

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    Miyuki Sone,

    Department of Diagnostic Radiology, National Cancer Center Hospital, Tokyo, JP
    About Miyuki

    MD, PhD

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    Yasuaki Arai,

    Department of Diagnostic Radiology, National Cancer Center Hospital, Tokyo, JP
    About Yasuaki

    MD, PhD

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    Chitose Ogawa,

    Department of Pediatric Oncology, National Cancer Center Hospital, Tokyo, JP
    About Chitose

    MD, PhD

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    Kazuaki Shimada

    Department of Pediatric Surgical Oncology, National Cancer Center Hospital, Tokyo, JP
    About Kazuaki

    MD, PhD

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    Abstract

    Rationale: Unresectable abdominal tumors cause various complications, and fistulizaton with intestine is a rare but serious complication. We report this condition in 2 cases.

    Patient Concerns: The first case was that of a 14-year-old male patient who had a desmoid tumor and the second case was that of a 17-year-old female patient with a recurrent malignant peripheral nerve sheath tumor. They were admitted with a giant chemoresistant tumor that was gradually growing and causing abdominal pain.

    Diagnoses: They were diagnosed with intertumor abscesses caused by fistulous communications with the intestine.

    Interventions: Both the patients underwent percutaneous drainage, and after being stabilized, they underwent surgery.

    Outcomes: The patient with desmoid tumor was continuing his daily routine without any problem. The patient with malignant peripheral nerve sheath tumor was able to consume food orally and discharged after the surgery.

    Lessons: In the treatment of abdominal intratumor abscesses caused by fistulous communications with intestine, it is necessary to consider the optimal treatment strategies based on the tumor location and patient prognosis.

    Keywords: Tumor-intestinal fistula, Desmoid tumor, Malignant peripheral nerve sheath tumor
    How to Cite: Kawakubo N, Hishiki T, Shirakawa N, Arakawa A, Sugawara S, Sone M, et al.. Surgical management of intertumor abscesses caused by fistulous communications with the intestine: rare complication in pediatric malignant tumor: 2 case reports. International Journal of Surgery: Oncology. 2021;5(6):e98. DOI: http://doi.org/10.1097/IJ9.0000000000000098
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    Published on 20 Jan 2021.
    Peer Reviewed
    CC BY 4.0

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