What question did this study set out to answer?

To report a case of chondrosarcoma presenting as a perianal abscess with significant hemorrhage during surgical intervention.

July 6, 2026Cureus0 citationsOpen Access

Unexpected Massive Hemorrhage During Incision and Drainage of a Presumed Perianal Abscess: A Case of Pelvic Chondrosarcoma

RMRishi MeswaniNKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital KMKajal MitraNKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital POPrashant OnkarNKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital

Key Points

To report a case of chondrosarcoma presenting as a perianal abscess with significant hemorrhage during surgical intervention.
Patient underwent incision and drainage for a presumed perianal abscess.
Contrast-enhanced CT scan performed post-operative to evaluate intra-abdominal structures.
Intraoperative massive hemorrhage was observed during drainage procedure.
CT scan revealed a large pelvic lesion with chondroid calcifications and vascular channels.

Abstract

Chondrosarcoma is a malignant cartilaginous neoplasm that commonly affects the pelvis. Due to its indolent growth pattern and deep anatomical location, pelvic disease may remain undetected until the lesion reaches a considerable size. In the present case, a 62-year-old male presented with a presumed perianal abscess and underwent incision and drainage, leading to unexpected massive hemorrhage intraoperatively. A subsequent contrast-enhanced CT scan demonstrated a large destructive pelvic lesion containing chondroid-type calcifications and prominent internal vascular channels. This case highlights the importance of radiological evaluation when clinical findings are atypical or inconclusive.

Ask AI

Helpful

Bookmark

View Full Paper