Τίτλος:
Necrotising fasciitis of the left leg caused by perforated caecal adenocarcinoma
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Pouriki, S.
Skalistira, M.
Zoumpouli, C.
Alexakis, N.
Περιοδικό:
Annals of the Royal College of Surgeons of England
Εκδότης:
Royal College of Surgeons of England
Λέξεις-κλειδιά:
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
DOI:
10.1308/rcsann.2017.0138
