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结肠癌穿孔继发腹部坏死性筋膜炎

Abdominal Necrotizing Fasciitis Secondary to Perforated Colon Cancer.

作者信息

Devkota Anirudra, Shrestha Anish, Bilalaga Mariah M, Gaddipati Greeshma, Haas Christopher J

机构信息

Internal Medicine, MedStar Union Memorial Hospital, Baltimore, MD, USA.

Department of Internal Medicine, Georgetown University School of Medicine, Washington, D.C., USA.

出版信息

J Community Hosp Intern Med Perspect. 2025 Jul 3;15(4):73-76. doi: 10.55729/2000-9666.1516. eCollection 2025.

Abstract

Necrotizing Fasciitis (NF) is a severe, potentially fatal soft tissue infection leading to death of muscles, fascia, and surrounding tissue. Perforated colon cancer (CC) is an exceedingly uncommon cause of NF. Here, we present a case of NF secondary to perforated colon cancer. This case emphasizes the significance of prompt identification, aggressive surgical excision of affected tissue, and consideration of rare, yet potentially fatal underlying etiologies in the management of NF as well as underscores the importance of CC screening to prevent devastating complications and mortality.

摘要

坏死性筋膜炎(NF)是一种严重的、可能致命的软组织感染,可导致肌肉、筋膜及周围组织坏死。穿孔性结肠癌(CC)是NF极为罕见的病因。在此,我们报告一例继发于穿孔性结肠癌的NF病例。该病例强调了在NF治疗中迅速识别、积极手术切除受累组织以及考虑罕见但可能致命的潜在病因的重要性,同时也凸显了CC筛查对于预防严重并发症和死亡的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04fd/12315888/8b613208a337/jchim-15-04-073f1.jpg

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