TY - JOUR T1 - Necrotising fasciitis secondary to perforated rectal adenocarcinoma presenting as a thigh swelling. AU - Evans,William David George, AU - Winters,Conchubhair, AU - Amin,Eshan, Y1 - 2015/03/30/ PY - 2015/4/1/entrez PY - 2015/4/1/pubmed PY - 2015/12/15/medline JF - BMJ case reports JO - BMJ Case Rep VL - 2015 N2 - A 62-year-old man was admitted to the medical admissions ward with right thigh pain presumed to be a deep vein thrombosis (DVT). Subsequent duplex ultrasonography excluded a DVT but noted the presence of a significant amount of subcutaneous gas. A plain film radiograph was performed with the same finding raising the possibility of necrotising fasciitis (NF). Only at this point was digital rectal examination performed revealing a large rectal mass oozing pus and blood. CT imaging showed thickening of the rectum consistent with a tumour with gas and fluid in the perirectal space extending to the anterolateral right femur. Despite aggressive debridement and treatment, the patient deteriorated and died 6 weeks later. This case should serve as a reminder to consider digital rectal examination and the occurrence of a rectal perforation in all patients who present with suspicious thigh swellings. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/25824287/Necrotising_fasciitis_secondary_to_perforated_rectal_adenocarcinoma_presenting_as_a_thigh_swelling_ DB - PRIME DP - Unbound Medicine ER -