Necrotising soft tissue infection of the lower limb due to a perforated caecal carcinoma: A case report

被引:2
作者
Timbrell S.J. [1 ]
Straiton D. [1 ]
Breaks E. [2 ]
Sillah K. [1 ]
Khan N. [1 ]
机构
[1] Department of Surgery, Lincoln County Hospital, Lincoln LN2 5QY, Greetwell Road
[2] Queens Medical Centre, University of Nottingham Medical School, Nottingham NG7 2UH, Derby Road
关键词
Caecal; Carcinoma; Cellulitis; Colorectal; Leg; Necrotising; Retroperitoneal; Skin; Thigh;
D O I
10.1186/1752-1947-8-80
中图分类号
学科分类号
摘要
Introduction. We report the first case to our knowledge where an ascending colorectal tumour presented as a necrotising lower leg infection. Case presentation. We describe the unusual presentation of a previously unknown caecal carcinoma in a 69-year-old Caucasian man, which presented as a rapidly spreading limb infection due to a perforated caecal adenocarcinoma. This case presented a diagnostic dilemma and we document the investigation and management in our patient and compare this to the current published literature. Conclusions: Although rare, this case highlights how leg swelling and in particular, thigh and gluteal swelling, have the potential to be an unusual presentation of a caecal carcinoma. © 2014Timbrell et al.; licensee BioMed Central Ltd. ©2014 Timbrell et al.; licensee BioMed Central Ltd.
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共 6 条
[1]  
Bowel Cancer Symptoms
[2]  
Ravo B., Khan S.A., Ger R., Unusual extraperitoneal presentations of diverticulitis, American Journal of Gastroenterology, 80, 5, pp. 346-351, (1985)
[3]  
Bohrer S.P., Bodine J., Perforated caecal carcinoma presenting as thigh emphysema, Ann Emerg Med, 12, pp. 797-798, (1983)
[4]  
Mann G.N., Scoggins C.R., Adkins B., Perforated cecal adenocarcinoma presenting as a thigh abscess, Southern Medical Journal, 90, 9, pp. 949-951, (1997)
[5]  
Fotiadis C., Macheras A., Charalampopoulos A., Karatzas G., Perforated cecal carcinoma presenting as a retroperitoneal abscess, Annals Of Gastroenterology, 17, 4, pp. 410-412, (2004)
[6]  
Kobayashi H., Sakurai Y., Shoji M., Nakamura Y., Suganuma M., Imazu H., Hasegawa S., Matsubara T., Ochiai M., Funabiki T., Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum, Journal of Gastroenterology, 36, 9, pp. 623-628, (2001)