Presentation and management of a case of rectal cancer complicated by perforation and necrotizing soft tissue infection

A 68-year-old man presented with septic shock and severe perineal pain from a perforated low-rectal cancer causing a perineal necrotizing soft tissue infection. He underwent laparoscopic diverting colostomy and multiple surgical debridements resulting in extensive perineal and left leg wounds. A mul...

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Autores principales: Cragle, Chad E, Schlenker, James, Moonka, Ravi, Wiebusch, Abigail, Simianu, Vlad V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9341225/
https://www.ncbi.nlm.nih.gov/pubmed/35919701
http://dx.doi.org/10.1093/jscr/rjac318
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author Cragle, Chad E
Schlenker, James
Moonka, Ravi
Wiebusch, Abigail
Simianu, Vlad V
author_facet Cragle, Chad E
Schlenker, James
Moonka, Ravi
Wiebusch, Abigail
Simianu, Vlad V
author_sort Cragle, Chad E
collection PubMed
description A 68-year-old man presented with septic shock and severe perineal pain from a perforated low-rectal cancer causing a perineal necrotizing soft tissue infection. He underwent laparoscopic diverting colostomy and multiple surgical debridements resulting in extensive perineal and left leg wounds. A multidisciplinary rectal cancer team recommended against neoadjuvant chemoradiation or chemotherapy in his current state. He underwent up-front, urgent robotic-assisted abdominoperineal resection with immediate oblique rectus abdominus muscle flap closure. Final pathology demonstrated a T4N1b adenocarcinoma with negative resection margins. The patient subsequently underwent adjuvant chemotherapy. Now at over 18 months, he remains cancer free.
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spelling pubmed-93412252022-08-01 Presentation and management of a case of rectal cancer complicated by perforation and necrotizing soft tissue infection Cragle, Chad E Schlenker, James Moonka, Ravi Wiebusch, Abigail Simianu, Vlad V J Surg Case Rep Case Report A 68-year-old man presented with septic shock and severe perineal pain from a perforated low-rectal cancer causing a perineal necrotizing soft tissue infection. He underwent laparoscopic diverting colostomy and multiple surgical debridements resulting in extensive perineal and left leg wounds. A multidisciplinary rectal cancer team recommended against neoadjuvant chemoradiation or chemotherapy in his current state. He underwent up-front, urgent robotic-assisted abdominoperineal resection with immediate oblique rectus abdominus muscle flap closure. Final pathology demonstrated a T4N1b adenocarcinoma with negative resection margins. The patient subsequently underwent adjuvant chemotherapy. Now at over 18 months, he remains cancer free. Oxford University Press 2022-07-30 /pmc/articles/PMC9341225/ /pubmed/35919701 http://dx.doi.org/10.1093/jscr/rjac318 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Cragle, Chad E
Schlenker, James
Moonka, Ravi
Wiebusch, Abigail
Simianu, Vlad V
Presentation and management of a case of rectal cancer complicated by perforation and necrotizing soft tissue infection
title Presentation and management of a case of rectal cancer complicated by perforation and necrotizing soft tissue infection
title_full Presentation and management of a case of rectal cancer complicated by perforation and necrotizing soft tissue infection
title_fullStr Presentation and management of a case of rectal cancer complicated by perforation and necrotizing soft tissue infection
title_full_unstemmed Presentation and management of a case of rectal cancer complicated by perforation and necrotizing soft tissue infection
title_short Presentation and management of a case of rectal cancer complicated by perforation and necrotizing soft tissue infection
title_sort presentation and management of a case of rectal cancer complicated by perforation and necrotizing soft tissue infection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9341225/
https://www.ncbi.nlm.nih.gov/pubmed/35919701
http://dx.doi.org/10.1093/jscr/rjac318
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