Evidence map›Paper›PMID 25824287›Full record

ArticleBMJ case reports2015

Necrotising fasciitis secondary to perforated rectal adenocarcinoma presenting as a thigh swelling.

William David George Evans, Conchubhair Winters, Eshan Amin

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.7field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Abdominal Necrotizing Fasciitis Secondary to Perforated Colon Cancer.Journal of community hospital internal medicine perspectives · 2025
    Article
  4. Article
  5. Article
  6. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

William David George EvansDepartment of Surgery, Pennine Acute Hospitals Trust, Manchester, UK.
Conchubhair WintersDepartment of Gastroenterology, Pennine Acute Hospitals Trust, Oldham, UK.
Eshan AminDepartment of Surgery, Royal Oldham Hospital, Oldham, UK.
Pennine Acute Hospitals NHS Trust · GBRoyal Oldham Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

ThighAdenocarcinomaAnti-Bacterial AgentsDiagnosis, DifferentialDigital Rectal ExaminationEdemaFasciitis, NecrotizingFatal OutcomeHumansIntestinal PerforationMaleMiddle AgedRectal NeoplasmsAnti-Bacterial Agents

Identifiers

PMID25824287
PMCPMC4386473
OpenAlexW2010322537

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.