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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 Marron*, Gerarde T McArdle, Milind Rao, Stephen Sinclair and John Moorehead

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

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ashish ohri   (2006-11-14 11:11)  Dayanand Medical College, Ludhiana, India email

Sir,

a very good case report of necrotizing fascitis secondary to cecal perforation.

i would like to add that radiological investigations in these cases provide with the diagnosis of retroperitoneal abscess but not with the source of the abscess definitely.

in this case while doing the debridement, the source could be localized but in practice, the more common source would be a perforated retrocecal appendix or pyonephrosis, for which a deliberate effort should be made if the source is not readily clear.

with warm regards,

Dr Ashish Ohri

Deptt of Surgery.

Dayanand Medical COllege & Hospital,

Ludhiana

India.

Competing interests

None declared

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