Jenkins V, Steinke J, Rajendran N, Kumar D
Queen's Hospital, Romford , London , UK.
University of London, St George's , London , UK.
Ann R Coll Surg Engl. 2018 Mar;100(3):e44-e45. doi: 10.1308/rcsann.2017.0210. Epub 2018 Jan 24.
Purulent myositis is an acute, intramuscular bacterial infection involving abscess formation most commonly affecting the quadriceps, hamstring and gluteal muscles. We present a case of extensive purulent myositis of the thigh and lower leg caused by bowel perforation below the peritoneal reflection secondary to rectal cancer. Cases of lower limb and perineal purulent myositis should raise suspicion of rectal perforation and should prompt investigations to exclude rectal malignancy.
脓性肌炎是一种急性的肌内细菌感染，会形成脓肿，最常累及股四头肌、腘绳肌和臀肌。我们报告一例因直肠癌导致腹膜反折以下肠穿孔引起的大腿和小腿广泛脓性肌炎病例。下肢和会阴脓性肌炎病例应怀疑直肠穿孔，并应促使进行检查以排除直肠恶性肿瘤。
