ArticleJournal of surgical case reports2020
An atypical case of necrotizing fasciitis secondary to perforated cecal cancer.
Article in Journal of surgical case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 19 citations in OpenAlex.
- Necrotizing Fasciitis Extending from the Left Iliopsoas to the Left Thigh Due to Retroperitoneal Penetration of the Descending Colon: A Case Report.Surgical case reports · 2026Article
- Necrotizing fasciitis of the abdominal wall revealing a delayed hepatic hydatid fistula: A rare and severe late complication.International journal of surgery case reports · 2025Article
- Abdominal Necrotizing Fasciitis Secondary to Perforated Colon Cancer.Journal of community hospital internal medicine perspectives · 2025Article
- Case report: A rare atypical presentation of necrotizing fasciitis with extensive spread secondary to perirectal abscess.SAGE open medical case reports · 2025Article
- Perforated colon cancer complicated by necrotizing soft tissue infection: A case report and literature review.IDCases · 2025Article
- Lower limb necrotising fasciitis descending from malignant colonic perforation: a rare pattern.BMJ case reports · 2024Article
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- Lower extremity necrotizing fasciitis with iliopsoas abscess secondary to perforated colon cancer: a diagnosis not to miss.Journal of surgical case reports · 2023Article
- Necrotising fasciitis secondary to a perforated hepatic flexure tumour - A case report.International journal of surgery case reports · 2023Article
- Retroperitoneal abscess as a presentation of colon cancer: The largest case set analysis to date, which extracted from our unit and the literature.Frontiers in oncology · 2023Article
- Necrotizing fasciitis of the thigh: An unexpected route to discover an infected colonic cancer.IDCases · 2023Article
- Scoping review on diagnostic criteria and investigative approach in sepsis of unknown origin in critically ill patients.Journal of intensive care · 2022Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Necrotizing fasciitis is an aggressive, life threatening soft tissue infection that requires high index of suspicion for diagnosis. Diagnosis is clinical with management including broad spectrum antibiotics and emergent operative debridement. The majority of cases are secondary to underlying medical processes, local tissue damage, abscess, or inciting procedure, with a paucity of data correlating causation with colon cancer. We describe the case of an 84-year-old man presenting with sepsis of unknown origin who was diagnosed with an atypical presentation of necrotizing fasciitis secondary to a perforated cecal malignancy. His case is unique in that a less virulent polymicrobial infection was likely involved as he initially improved with conservative management alone. He ultimately declined and expired secondary to overwhelming sepsis from his infection. This case highlights the importance of maintaining a high index of suspicion for necrotizing infection and considerations for alternative etiologies of infection including perforated malignancies.
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