Necrotizing fasciitis of the anterior abdominal wall: an atypical presentation of sigmoid colon cancer
Colorectal cancer is fast rising to be one of the most common form of cancer in Malaysia, especially of those in the elderly age group, beyond the age of 40, with a peak incidence at 50 years of age. In Malaysia, the most common site of tumour presentation is the Sigmoid Colon and many patients p...
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iium-447652015-10-20T00:47:11Z http://irep.iium.edu.my/44765/ Necrotizing fasciitis of the anterior abdominal wall: an atypical presentation of sigmoid colon cancer K., Karthik Idris, Mohd Faiz H, Dhiauddin Md Nor, Azmi RD Surgery Colorectal cancer is fast rising to be one of the most common form of cancer in Malaysia, especially of those in the elderly age group, beyond the age of 40, with a peak incidence at 50 years of age. In Malaysia, the most common site of tumour presentation is the Sigmoid Colon and many patients present at Stage III of the disease, and their usual presentation is with per rectal bleed, altered bowel habits or constitutional symptoms. We report an unusual case of sigmoid cancer presenting on a young 38 year old woman with necrotizing fasciitis of the anterior abdominal wall, which was diagnosed and subsequently treated with a laparotomy surgery. Pre-operatively we have ultrasound and CT findings of anterior abdominal wall collection with presence of massive air within the abdominal wall, with subcutaneous collection extending to the muscularis layer with pelvic collection and an inflammatory mass over the sigmoid colon. She underwent an exploratory laparotomy, Hartmann Procedure and an extensive wound debridement during which it was noted she had faecal and pus contaminant in her peritoneal cavity and a sigmoid tumour perforation that had fistulated to the anterior abdominal wall. Sigmoid colon cancer is a very prevalent type of cancer and as such it is important to identify all possible manifestations and complications a patient may present with. 2015 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/44765/1/44765.pdf K., Karthik and Idris, Mohd Faiz and H, Dhiauddin and Md Nor, Azmi (2015) Necrotizing fasciitis of the anterior abdominal wall: an atypical presentation of sigmoid colon cancer. In: Coloproctology 2015 International Scientific Meeting, 12th-15th March 2015, Holiday Inn Melaka Malaysia. (Unpublished) |
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RD Surgery K., Karthik Idris, Mohd Faiz H, Dhiauddin Md Nor, Azmi Necrotizing fasciitis of the anterior abdominal wall: an atypical presentation of sigmoid colon cancer |
description |
Colorectal cancer is fast rising to be one of the most common form of cancer in Malaysia, especially
of those in the elderly age group, beyond the age of 40, with a peak incidence at 50 years of age.
In Malaysia, the most common site of tumour presentation is the Sigmoid Colon and many patients
present at Stage III of the disease, and their usual presentation is with per rectal bleed, altered bowel
habits or constitutional symptoms. We report an unusual case of sigmoid cancer presenting on a young
38 year old woman with necrotizing fasciitis of the anterior abdominal wall, which was diagnosed and
subsequently treated with a laparotomy surgery. Pre-operatively we have ultrasound and CT findings
of anterior abdominal wall collection with presence of massive air within the abdominal wall, with
subcutaneous collection extending to the muscularis layer with pelvic collection and an inflammatory
mass over the sigmoid colon. She underwent an exploratory laparotomy, Hartmann Procedure and
an extensive wound debridement during which it was noted she had faecal and pus contaminant in
her peritoneal cavity and a sigmoid tumour perforation that had fistulated to the anterior abdominal
wall. Sigmoid colon cancer is a very prevalent type of cancer and as such it is important to identify all
possible manifestations and complications a patient may present with. |
format |
Conference or Workshop Item |
author |
K., Karthik Idris, Mohd Faiz H, Dhiauddin Md Nor, Azmi |
author_facet |
K., Karthik Idris, Mohd Faiz H, Dhiauddin Md Nor, Azmi |
author_sort |
K., Karthik |
title |
Necrotizing fasciitis of the anterior abdominal wall: an atypical presentation of sigmoid colon cancer |
title_short |
Necrotizing fasciitis of the anterior abdominal wall: an atypical presentation of sigmoid colon cancer |
title_full |
Necrotizing fasciitis of the anterior abdominal wall: an atypical presentation of sigmoid colon cancer |
title_fullStr |
Necrotizing fasciitis of the anterior abdominal wall: an atypical presentation of sigmoid colon cancer |
title_full_unstemmed |
Necrotizing fasciitis of the anterior abdominal wall: an atypical presentation of sigmoid colon cancer |
title_sort |
necrotizing fasciitis of the anterior abdominal wall: an atypical presentation of sigmoid colon cancer |
publishDate |
2015 |
url |
http://irep.iium.edu.my/44765/ http://irep.iium.edu.my/44765/1/44765.pdf |
first_indexed |
2023-09-18T21:03:38Z |
last_indexed |
2023-09-18T21:03:38Z |
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