{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T22:56:45Z","timestamp":1775602605688,"version":"3.50.1"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,4,12]]},"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Colon cancer can present with complications such as obstruction, perforation and bleeding. The clinical presentation has been recognised as an independent prognostic factor for morbidity and mortality.\n<jats:sup>1<\/jats:sup>\n We present a rare case of localised perforation of a locally advanced colon cancer arising from mid-transverse colon in an elderly woman in the absence of widely metastatic disease with eventual cutaneous involvement of the overlying skin by direct extension, resulting in formation of colocutaneous fistula. The management of such cases is complex as usually tailored to the situation encountered.\n<jats:sup>2<\/jats:sup>\n This case was a clinical challenge to choose between initial palliative resection and curative R0 resection following neoadjuvant chemotherapy.<\/jats:p>","DOI":"10.1136\/bcr-2018-224668","type":"journal-article","created":{"date-parts":[[2018,4,19]],"date-time":"2018-04-19T13:25:48Z","timestamp":1524144348000},"page":"bcr-2018-224668","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Localised perforation of locally advanced transverse colon cancer with spontaneous colocutaneous fistula formation: a clinical challenge"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4302-5921","authenticated-orcid":false,"given":"Nikita","family":"Wadhwani","sequence":"first","affiliation":[{"name":"Department of General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak Kumar","family":"Diwakar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,4,19]]},"reference":[{"key":"2025082801350589000_2018.apr19_1.bcr-2018-224668.1","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.suc.2017.01.004","article-title":"Emergency presentations of colorectal cancer","volume":"97","author":"Baer","year":"2017","journal-title":"Surg Clin North Am"},{"key":"2025082801350589000_2018.apr19_1.bcr-2018-224668.2","unstructured":"In: DeVita V , Lawrence T , Rosenberg S , eds. Hellman and rosenber\u2019s cancer: principles & practice of oncology. 2. 10th edn. Philadelphia: Wolter Kluwer\/Lippincott Williams & Wilkins, 2011."},{"key":"2025082801350589000_2018.apr19_1.bcr-2018-224668.3","unstructured":"Indian Council of Medical Research (ICMR). Consensus document for management of colorectal cancer. http:\/\/icmr.nic.in\/guide\/cancer\/Colorectal\/Colorectal%20Cancer.pdf."},{"key":"2025082801350589000_2018.apr19_1.bcr-2018-224668.4","doi-asserted-by":"crossref","first-page":"147","DOI":"10.4103\/2278-9596.122940","article-title":"Spontaneous enterocutaneous fistula due to colonic malignancy: a rare case report","volume":"3","author":"Jethwani","year":"2013","journal-title":"Archives of International Surgery"},{"key":"2025082801350589000_2018.apr19_1.bcr-2018-224668.5","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1186\/s13104-017-2440-0","article-title":"Locally advanced colon cancer with cutaneous invasion: case report","volume":"10","author":"Tenreiro","year":"2017","journal-title":"BMC Res Notes"},{"key":"2025082801350589000_2018.apr19_1.bcr-2018-224668.6","doi-asserted-by":"crossref","first-page":"349","DOI":"10.17554\/j.issn.1819-6187.2016.04.77","article-title":"Emergency surgery for colorectal cancer in patients aged over 90 years: review of the recent literature","volume":"4","author":"Simone Belinda","year":"2016","journal-title":"Journal of Tumor"},{"key":"2025082801350589000_2018.apr19_1.bcr-2018-224668.7","unstructured":"Dalmia S . Hartmann\u2019s procedure and its outcome - An analysis of 78 consecutive cases. International Archives of Medicine, [S.l], v. 2015. ISSN 1755-7682."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224668","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:35:14Z","timestamp":1756370114000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224668"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4]]},"references-count":7,"alternative-id":["10.1136\/bcr-2018-224668"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224668","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4]]}}}