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Open Access Case report

Perforated carcinoma of the caecum presenting as necrotising fasciitis of the abdominal wall, the key to early diagnosis and management

Conor D Marron13*, Gerarde T McArdle1, Milind Rao1, Stephen Sinclair2 and John Moorehead1

Author affiliations

1 Department of Surgery, Ulster Hospital Dundonald, Upper Newtownards Road, Belfast, BT16 1RH, Northern Ireland, UK

2 Department of Plastic Surgery, Ulster Hospital Dundonald, Upper Newtownards Road, Belfast, BT16 1RH, Northern Ireland, UK

3 Department of Surgery, ICS, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, Northern Ireland, UK

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Citation and License

BMC Surgery 2006, 6:11  doi:10.1186/1471-2482-6-11

Published: 29 September 2006

Abstract

Background

Necrotising Fasciitis is a life threatening soft tissue infection which requires aggressive, early surgical management.

Case presentation

We present a rare case of a retroperitoneal perforation of a carcinoma of the caecum presenting as a necrotising fasciitis of the anterior abdominal wall.

Conclusion

This case highlights the importance of early aggressive debridement to healthy tissue limits, the consideration of a rare underlying cause, and the scope for plastic surgical reconstruction in order that aggressive initial surgery can be adequately performed.