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以腹壁坏死性筋膜炎为表现的盲肠穿孔癌,早期诊断与处理的关键

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

作者信息

Marron Conor D, McArdle Gerarde T, Rao Milind, Sinclair Stephen, Moorehead John

机构信息

Department of Surgery, Ulster Hospital Dundonald, Upper Newtownards Road, Belfast, BT16 1RH, Northern Ireland, UK.

出版信息

BMC Surg. 2006 Sep 29;6:11. doi: 10.1186/1471-2482-6-11.

DOI:10.1186/1471-2482-6-11
PMID:17010190
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1615875/
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.

摘要

背景

坏死性筋膜炎是一种危及生命的软组织感染,需要积极的早期手术治疗。

病例报告

我们报告一例罕见病例,盲肠癌腹膜后穿孔表现为前腹壁坏死性筋膜炎。

结论

该病例强调了早期积极清创至健康组织界限的重要性、考虑罕见潜在病因以及整形外科重建的可能性,以便能够充分进行积极的初始手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfb8/1615875/29cf0365c9c6/1471-2482-6-11-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfb8/1615875/b6b8e881b327/1471-2482-6-11-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfb8/1615875/f66e4dc2e93d/1471-2482-6-11-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfb8/1615875/29cf0365c9c6/1471-2482-6-11-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfb8/1615875/b6b8e881b327/1471-2482-6-11-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfb8/1615875/f66e4dc2e93d/1471-2482-6-11-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfb8/1615875/29cf0365c9c6/1471-2482-6-11-3.jpg

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Retroperitoneal abscess as a presentation of colon cancer: The largest case set analysis to date, which extracted from our unit and the literature.腹膜后脓肿作为结肠癌的一种表现形式:迄今为止最大规模的病例集分析,该分析取自我们科室及相关文献。
Front Oncol. 2023 Oct 24;13:1198592. doi: 10.3389/fonc.2023.1198592. eCollection 2023.
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