Necrotising fasciitis of the thigh secondary to a perforated rectal cancer

We report a rare case of rectal cancer presenting with necrotising fasciitis of the posterior thigh. Perforation of a rectal cancer adjacent to the piriformis muscle provided a route for bowel contents to travel into, and contaminate, the posterior compartment of the thigh. This case highlights the...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery Vol. 62; no. 2; pp. e17 - e19
Main Authors: Highton, L., Clover, J., Critchley, P.
Format: Journal Article
Language:English
Published: Netherlands Elsevier Ltd 01.02.2009
Subjects:
Adenocarcinoma - complications
Adenocarcinoma - diagnosis
Aged
Fasciitis, Necrotizing - etiology
Fasciitis, Necrotizing - surgery
Humans
Intestinal Perforation - complications
Magnetic Resonance Imaging
Male
Necrotising fasciitis
Perforation
Plastic Surgery
Posterior thigh
Radiography
Rectal cancer
Rectal Neoplasms - complications
Rectal Neoplasms - diagnosis
Subcutaneous Emphysema - diagnostic imaging
Subcutaneous Emphysema - etiology
Thigh
Posterior thigh
Rectal cancer
Perforation
Necrotising fasciitis
ISSN:1748-6815, 1878-0539, 1878-0539
Online Access:Get full text
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Summary:We report a rare case of rectal cancer presenting with necrotising fasciitis of the posterior thigh. Perforation of a rectal cancer adjacent to the piriformis muscle provided a route for bowel contents to travel into, and contaminate, the posterior compartment of the thigh. This case highlights the need for prompt diagnosis, urgent aggressive surgical debridement and consideration of a rare underlying cause in the management of necrotising fasciitis.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:1748-6815
1878-0539
1878-0539
DOI:10.1016/j.bjps.2007.08.031