title: Necrotising fasciitis caused by metastatic endometrial cancer: a rare cause of a life-threatening condition.
abstract: We report a case of necrotising fasciitis caused by metastatic endometrial adenocarcinoma. Metastases to the lumbar spine with local invasion to the iliopsoas muscle led to an iliopsoas abscess, which subsequently progressed to necrotising fasciitis of the flank. This patient lacked common risk factors for necrotising fasciitis. There are no previous reports in the literature of necrotising fasciitis with this aetiology. We discuss the available evidence for aetiology of and risk factors for necrotising fasciitis, and the relation of time to surgery with prognosis.
authors.affiliation: Plastic Surgery Department, Royal Free Hospital NHS Foundation Trust , London , UK.
authors.forename: S
authors.initials: S
authors.lastname: Hendrickson
authors.affiliation: Plastic Surgery Department, Royal Free Hospital NHS Foundation Trust , London , UK.
authors.forename: N
authors.initials: N
authors.lastname: Bystrzonowski
authors.affiliation: Plastic Surgery Department, Royal Free Hospital NHS Foundation Trust , London , UK.
authors.forename: C
authors.initials: C
authors.lastname: Kokkinos
authors.affiliation: Plastic Surgery Department, Royal Free Hospital NHS Foundation Trust , London , UK.
authors.forename: P
authors.initials: P
authors.lastname: Butler
mesh_terms: D016889:Endometrial Neoplasms / Q000150:complications / Q000473:pathology; D019115:Fasciitis, Necrotizing / Q000209:etiology / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D016659:Psoas Abscess / Q000150:complications; D012772:Shock, Septic
keywords: Endometrial Cancer; Iliopsoas Abscess; Necrotising Fasciitis; Neoplasm Metastases