Acute abdomen in a known case of sigmoid cancer and review of Laplace Law: a case report

In this case, we discuss a case of young female patient was admitted with acute abdomen after a week since the diagnosis of a metastatic colon cancer. The case prompts the revision of Laplace Law, which can be grossly proven on the specimen shown below. The patient presented with a peculiar nontender distended acute abdomen, which further explains the pathophysiology of perforation and peritonitis. This case also produces evidence of colorectal cancer present in the younger population allowing more room for investigating other factors causing it.