Chohan Tahir Ali, Mudasser Syed, Sarwar Mohamed
Department of General Surgery,Sultan Qaboos Hospital, Salalah, Sultanate of Oman.
J Coll Physicians Surg Pak. 2010 Oct;20(10):689-91. doi: 10.2010/JCPSP.689691.
Caecal and right sided colonic cancers mostly present with fatigue, weakness and iron deficiency anemia. Such tumours rarely perforate posteriorly and involve the retroperitoneum. We report a case of an old Omani lady who came with insidious sign and symptoms of perforated caecum leading to retroperitoneal collection and necrotizing fasciitis of abdominal wall due to carcinoma of caecum. She underwent surgery but despite active intervention, she died because of septicemic shock.
盲肠和右侧结肠癌大多表现为疲劳、虚弱和缺铁性贫血。这类肿瘤很少向后穿孔并累及腹膜后。我们报告一例阿曼老年女性病例,她因盲肠癌出现隐匿性盲肠穿孔症状,导致腹膜后积液和腹壁坏死性筋膜炎。她接受了手术,但尽管积极干预,仍因感染性休克死亡。