Psoas/Colon Abscess with JP drain

PurplePeople

Hi everyone, new to the boards. Thanks for sharing your knowledge.

My husband had an infection that on initial diagnosis, turned out to be either a psoas abscess or diverticulitis. They have placed a JP drain in his Lower left abdomen (and it is very uncomfortable) which he has had for 3 weeks. Drains ~20 ml every 12 hours.

Further testing reveals two spots on the liver and so he got a PET scan (no other areas of concern) and a liver biopsy. Oncologist thinks that the abscess may be caused by a cancerous tumor in the colon that perforated the colon. Perhaps the liver spots are metastasized from the colon... will have results soon.

My question is: how do we know if you should have colon cancer removed surgically vs treated with chemo? I think the medical establishment is afraid of doing anything surgically in the colon due to the risk of infection, but it sure seems like a good idea to cut out the cancer! (They also don't want to do a colonoscopy.)

Diane_K

I'm hoping for the best for your husband's liver biopsy. You should get the results soon and his oncologist will give his/her opinion if surgery and/or chemo is needed. It is not uncommon to have colon or liver surgery. I had colon, liver and lung surgery after my colon cancer metastasized. I also had chemo and have been cancer free for several years.

Best wishes to you and your husband.

PurplePeople

https://csn.cancer.org/discussion/comment/1698886#Comment_1698886

Thank you so much, Diane. I'll let you know what happens.

koalamom

https://csn.cancer.org/discussion/comment/1698886#Comment_1698886

Diane, this is an old tread but I am so happy to find your comment, my XH has also colorectal cancer III and the tumor just perforated the colon and is expanding to the psoas , he only did one round of chemo because he also had covid recently. knowing that you made it brings me hope. ty