• J Plast Reconstr Aesthet Surg · Dec 2012

    Case Reports

    Necrotising fasciitis of the thigh secondary to colonic perforation: the femoral canal as a route for infective spread.

    • A Wiberg, E Carapeti, and A Greig.
    • Department of Plastic Surgery, St Thomas' Hospital, Westminster Bridge Road, London, UK. wiberg@doctors.org.uk
    • J Plast Reconstr Aesthet Surg. 2012 Dec 1;65(12):1731-3.

    AbstractA 57 year-old man with a history of corticosteroid use presented with abdominal pain and diarrhoea. He was initially treated for presumed Clostridium difficile colitis, but later developed a left inguinal mass with spreading erythema. A CT scan showed gas within the retroperitoneal tissues, with surgical emphysema of the left groin. Necrotising fasciitis was diagnosed, and the patient underwent extensive debridement of the left thigh and inguinal region. The femoral vein was covered in infected fascia in the femoral canal, and a laparotomy revealed a posterior perforation of the sigmoid colon. Necrotising fasciitis of the thigh is a rare complication of colonic perforation. Our case highlights the femoral canal as a potential channel for the spread of intra-abdominal infection into the thigh.Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

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