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盲肠穿孔癌导致下肢坏死性软组织感染:一例报告

Necrotising soft tissue infection of the lower limb due to a perforated caecal carcinoma: a case report.

作者信息

Timbrell Simon J, Straiton David, Breaks Elliot, Sillah Karim, Khan Neil

机构信息

Department of Surgery, Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY, UK.

出版信息

J Med Case Rep. 2014 Mar 1;8:80. doi: 10.1186/1752-1947-8-80.

DOI:10.1186/1752-1947-8-80
PMID:24580985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3948044/
Abstract

INTRODUCTION

We report the first case to our knowledge where an ascending colorectal tumour presented as a necrotising lower leg infection.

CASE PRESENTATION

We describe the unusual presentation of a previously unknown caecal carcinoma in a 69-year-old Caucasian man, which presented as a rapidly spreading limb infection due to a perforated caecal adenocarcinoma. This case presented a diagnostic dilemma and we document the investigation and management in our patient and compare this to the current published literature.

CONCLUSIONS

Although rare, this case highlights how leg swelling and in particular, thigh and gluteal swelling, have the potential to be an unusual presentation of a caecal carcinoma.

摘要

引言

据我们所知,我们报告了首例升结肠肿瘤表现为小腿坏死性感染的病例。

病例报告

我们描述了一名69岁白种男性患者中一例此前未知的盲肠癌的不寻常表现,该盲肠癌因盲肠腺癌穿孔而表现为迅速蔓延的肢体感染。该病例带来了诊断难题,我们记录了对该患者的检查和治疗过程,并将其与当前已发表的文献进行比较。

结论

尽管罕见,但该病例凸显了腿部肿胀,尤其是大腿和臀部肿胀,有可能是盲肠癌的一种不寻常表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd1e/3948044/a1b46d223feb/1752-1947-8-80-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd1e/3948044/d24d4914ae40/1752-1947-8-80-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd1e/3948044/a1b46d223feb/1752-1947-8-80-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd1e/3948044/d24d4914ae40/1752-1947-8-80-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd1e/3948044/a1b46d223feb/1752-1947-8-80-2.jpg

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引用本文的文献

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Ann R Coll Surg Engl. 2020 Nov;102(9):e1-e4. doi: 10.1308/rcsann.2020.0137. Epub 2020 Jul 31.
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Caecal cancer presenting as leg erythema and a lung opacity.

本文引用的文献

1
Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum.盲肠癌导致右臀区域腰大肌脓肿和蜂窝织炎。
J Gastroenterol. 2001 Sep;36(9):623-8. doi: 10.1007/s005350170047.
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Perforated cecal adenocarcinoma presenting as a thigh abscess.表现为大腿脓肿的盲肠穿孔性腺癌。
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Perforated cecal carcinoma presenting as thigh emphysema.表现为大腿气肿的盲肠穿孔癌。
以腿部红斑和肺部不透明影为表现的盲肠癌
BMJ Case Rep. 2017 Sep 7;2017:bcr-2017-220752. doi: 10.1136/bcr-2017-220752.
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