# Colonic Adenocarcinoma Presenting as Abdominal Wall Necrosis: A Case Report

## TL;DR

A rare case of colon cancer presented as abdominal wall necrosis in a young woman, emphasizing the need for careful diagnosis and complex treatment.

## Contribution

Highlights a rare presentation of cecal adenocarcinoma as abdominal wall necrosis and emphasizes diagnostic and management challenges.

## Key findings

- Cecal adenocarcinoma can present as rapidly progressive abdominal wall necrosis.
- Atypical presentations require a high index of suspicion for malignancy.
- Balancing wound care, infection control, and oncologic treatment is crucial for optimal outcomes.

## Abstract

While typical presentations of colorectal cancer include gastrointestinal symptoms such as changes in bowel habits, anemia, and hematochezia, it can also present atypically, including direct invasion of adjacent structures such as the abdominal wall. This report details a rare case of cecal adenocarcinoma manifesting as rapidly progressive abdominal wall necrosis in a 43-year-old woman, highlighting the diagnostic challenge in such unusual presentations. The case underscores the importance of maintaining a high index of suspicion for underlying malignancy in atypical clinical scenarios and illustrates the complexity of balancing wound care, infection control, and oncologic management to optimize patient outcomes.