TY - JOUR
TI - Necrotising fasciitis of the left leg caused by perforated caecal adenocarcinoma
AU - Pouriki, S.
AU - Skalistira, M.
AU - Zoumpouli, C.
AU - Alexakis, N.
JO - Annals of the Royal College of Surgeons of England
PY - 2017
VL - 99
TODO - 8
SP - e223-e224
PB - Royal College of Surgeons of England
SN - 0035-8843, 1478-7083
TODO - 10.1308/rcsann.2017.0138
TODO - adenocarcinoma;  case report;  cecum tumor;  diagnostic imaging;  fatality;  human;  intestine perforation;  lower limb;  male;  necrotizing fasciitis;  pathology;  surgery;  very elderly;  x-ray computed tomography, Adenocarcinoma;  Aged, 80 and over;  Cecal Neoplasms;  Fasciitis, Necrotizing;  Fatal Outcome;  Humans;  Intestinal Perforation;  Lower Extremity;  Male;  Tomography, X-Ray Computed
TODO - An 82-year-old man presented with abdominal pain and a painful and swollen left thigh. On examination there was oedema, tenderness and crepitus with skin discoloration of the left thigh. Computed tomography showed retroperitoneal perforation of the caecum and necrotising fasciitis of the left thigh. A right hemicolectomy and repeated fasciotomies of the left thigh with debridement of necrotic tissue were performed but the patient died of multi-organ failure. Histology showed a pT4aN2c caecal adenocarcinoma. This is a unique presentation of a retroperitoneal caecal perforation and acts as a reminder that unexplained severe fasciitis of the thigh may be caused by an intra-abdominal pathology.
ER -