Presentation and management of a case of rectal cancer complicated by perforation and necrotizing soft tissue infection.
J Surg Case Rep
; 2022(7): rjac318, 2022 Jul.
Article
em En
| MEDLINE
| ID: mdl-35919701
ABSTRACT
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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MEDLINE
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Ano de publicação:
2022
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Article