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J Plast Reconstr Aesthet Surg. 2009 Feb;62(2):e17-9. doi: 10.1016/j.bjps.2007.08.031. Epub 2008 Mar 3.

Necrotising fasciitis of the thigh secondary to a perforated rectal cancer.

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1
Department of Plastic and Reconstructive Surgery, John Radcliffe Hospital, Oxford, Oxfordshire, UK. lyndseyhighton@hotmail.com

Abstract

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.

PMID:
18316255
DOI:
10.1016/j.bjps.2007.08.031
[Indexed for MEDLINE]
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