• J Med Case Rep · Mar 2014

    Necrotising soft tissue infection of the lower limb due to a perforated caecal carcinoma: a case report.

    • Simon J Timbrell, David Straiton, Elliot Breaks, Karim Sillah, and Neil Khan.
    • Department of Surgery, Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY, UK. simon.timbrell@nhs.net.
    • J Med Case Rep. 2014 Mar 1; 8: 80.

    IntroductionWe report the first case to our knowledge where an ascending colorectal tumour presented as a necrotising lower leg infection.Case PresentationWe describe the unusual presentation of a previously unknown caecal carcinoma in a 69-year-old Caucasian man, which presented as a rapidly spreading limb infection due to a perforated caecal adenocarcinoma. This case presented a diagnostic dilemma and we document the investigation and management in our patient and compare this to the current published literature.ConclusionsAlthough rare, this case highlights how leg swelling and in particular, thigh and gluteal swelling, have the potential to be an unusual presentation of a caecal carcinoma.

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