Necrotising fasciitis of the left leg caused by perforated caecal adenocarcinoma
| Autor: | C Zoumpouli, S Pouriki, N Alexakis, M Skalistir |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
Male Abdominal pain medicine.medical_specialty medicine.medical_treatment Perforation (oil well) Necrotising fasciitis Cecal Neoplasms Thigh Adenocarcinoma Skin Discoloration 03 medical and health sciences 0302 clinical medicine Fatal Outcome Medicine Humans Fasciitis Necrotizing Fasciitis Aged 80 and over Debridement Crepitus business.industry 030208 emergency & critical care medicine General Medicine medicine.disease musculoskeletal system Surgery body regions medicine.anatomical_structure Online Case Report Lower Extremity Intestinal Perforation 030220 oncology & carcinogenesis medicine.symptom business Tomography X-Ray Computed |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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