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J Plast Reconstr Aesthet Surg · Feb 2009
Case ReportsNecrotising fasciitis of the thigh secondary to a perforated rectal cancer.
- L Highton, J Clover, and P Critchley.
- Department of Plastic and Reconstructive Surgery, John Radcliffe Hospital, Oxford, Oxfordshire, UK. lyndseyhighton@hotmail.com
- J Plast Reconstr Aesthet Surg. 2009 Feb 1;62(2):e17-9.
SummaryWe report a rare case of rectal cancer presenting with necrotising fasciitis of the posterior thigh. Perforation of a rectal cancer adjacent to the piriformis muscle provided a route for bowel contents to travel into, and contaminate, the posterior compartment of the thigh. This case highlights the need for prompt diagnosis, urgent aggressive surgical debridement and consideration of a rare underlying cause in the management of necrotising fasciitis.
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