DOI: 10.21276/sasjs.2017.3.9.5

Pages: 254-256

Dermal metastasis from internal malignancies rarely occurs. It has an incidence of 0.7 to 9% and it may be the first sign of an unknown malignancy. However, it can also occur after a percutaneous diagnostic procedure or surgery. We present the case of a elderly lady who underwent right hemicolectomy for operable carcinoma of ascending colon and came after 3 months with an erythematous nodule at the right para-colic drain site. Biopsy was suggestive of moderately differentiated adenocarcinoma. CECT was suggestive of disseminated peritoneal and hepatic metastasis. Because of her poor general condition patient was given palliative care. Drain site metastasis from carcinomas of the gastrointestinal tract is very rare. Biopsy of persisting erythematous nodules at drain sites must be taken in order to diagnose metastasis and should be treated before disseminated metastasis occurs.