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- Title
Lower extremity necrotizing fasciitis with iliopsoas abscess secondary to perforated colon cancer: a diagnosis not to miss.
- Authors
Lahham, Elias E; Alsahouri, Mohammad I; Ghweir, Abdalrazeq A; Alsalah, Qusai A; AlQadi, Mohammad; Sarhan, Nader
- Abstract
Necrotizing fasciitis (NF) is a life-threatening soft tissue infection, typically caused by preexisting conditions such as trauma, complicated intraabdominal infections, or even small wounds. However, it is very rare for NF to occur as a result of perforated colon cancer (CC). Diagnosis primarily relies on clinical findings, imaging, and laboratory tests. Early diagnosis and treatment are crucial for patient survival. In this study, we present a case of an 82-year-old female a known case of CC diagnosed 1 month ago. She presented with hip pain persisting for 10 days duration, along with skin changes over the proximal anterolateral aspect of the thigh. The patient was diagnosed with NF associated with an iliopsoas abscess caused by perforated CC that was managed with surgical debridement, left hemicolectomy, and end colostomy along with broad-spectrum antibiotics.
- Subjects
COLON cancer diagnosis; NECROTIZING fasciitis; ILIOPSOAS muscle; SOFT tissue infections; INTRA-abdominal infections; ABSCESSES; COLON cancer
- Publication
Journal of Surgical Case Reports, 2023, Vol 2023, Issue 12, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjad685