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Case Reports
. 2006 Sep 29:6:11.
doi: 10.1186/1471-2482-6-11.

Perforated carcinoma of the caecum presenting as necrotising fasciitis of the abdominal wall, the key to early diagnosis and management

Conor D Marron  1 , Gerarde T McArdle, Milind Rao, Stephen Sinclair, John Moorehead
Affiliations
Case Reports

Perforated carcinoma of the caecum presenting as necrotising fasciitis of the abdominal wall, the key to early diagnosis and management

Conor D Marron et al. BMC Surg. .

Abstract

Background: Necrotising Fasciitis is a life threatening soft tissue infection which requires aggressive, early surgical management.

Case presentation: We present a rare case of a retroperitoneal perforation of a carcinoma of the caecum presenting as a necrotising fasciitis of the anterior abdominal wall.

Conclusion: This case highlights the importance of early aggressive debridement to healthy tissue limits, the consideration of a rare underlying cause, and the scope for plastic surgical reconstruction in order that aggressive initial surgery can be adequately performed.

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Figures

Figure 1
Figure 1
Lateral Abdominal X-Ray demonstrating subcutaneous gas within the abdominal wall.
Figure 2
Figure 2
Extensive debridement of abdominal wall leaving small bowel and kidney exposed.
Figure 3
Figure 3
Defect in abdominal wall closed using rectus femoris myocutaneous flap.
See this image and copyright information in PMC

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