Highton L, Clover J, Critchley P
Department of Plastic and Reconstructive Surgery, John Radcliffe Hospital, Oxford, Oxfordshire, UK.
J Plast Reconstr Aesthet Surg. 2009 Feb;62(2):e17-9. doi: 10.1016/j.bjps.2007.08.031. Epub 2008 Mar 3.
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.
我们报告一例罕见的直肠癌病例，该病例伴有大腿后部坏死性筋膜炎。梨状肌附近的直肠癌穿孔为肠内容物进入并污染大腿后间隙提供了途径。该病例强调了在坏死性筋膜炎的治疗中，需要及时诊断、紧急积极的手术清创以及考虑罕见的潜在病因。
