[Perineal necrotizing cellulitis disclosing rectal adenocarcinoma].
We report one case of rectal cancer disclosed by a perineal cellulitis in a diabetic woman. This infrequent association has a bad prognosis. Diagnosis is mainly clinical. Treatment is urgent with large spectrum antibiotic therapy, surgical debridement, colostomy and hyperbaric oxygen if available. Surgical treatment of the rectal cancer can be done immediately or delayed.
Lamy
A
A
Service de chirurgie digestive, centre hospitalier d'Agen, route de Villeneuve, Agen 47923, France. alain.lamy@agen.aquisante.fr
Tissot
B
B
Pigot
F
F
D000230:Adenocarcinoma / Q000097:blood / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001442:Bacteroides Infections / Q000150:complications / Q000175:diagnosis; D001706:Biopsy; D002272:Carcinoembryonic Antigen / Q000097:blood; D003125:Colostomy; D003131:Combined Modality Therapy; D003646:Debridement; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D006931:Hyperbaric Oxygenation; D009367:Neoplasm Staging; D010502:Perineum; D011379:Prognosis; D012004:Rectal Neoplasms / Q000097:blood / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012307:Risk Factors; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D002272:Carcinoembryonic Antigen