Perforated Colon Cancer Mimicking Abdominal Necrotizing Fasciitis: A Case Report

大腸癌破裂穿孔造成腹壁壞死性筋膜炎一病例報告

顧孝文(Hsiao-Wen Ku) ； 張光瑞(Kuang-Jui Chang) ； 陳東源(Dong-Yuan Chen) ； 許競文(Ching-Wen Hsu) ； 陳石池(Shyr-Chyr Chen)

《中華民國急救加護醫學會雜誌》 Volume 15 Issue 4 (2004/12) Pp. 175-180

https://doi.org/10.30018/JECCM.200412.0007

Abstracts

壞死性筋膜炎為致命急症，很少合併大腸惡性腫瘤。我們所提出之病例爲77歲女性因腹痛至醫院就診，起初理學檢查以爲單純腹壁壞死性筋膜炎。經審愼評估後發現爲大腸癌破裂孔造成。老年腹痛病患診斷時須多方思考，勿被表面徵狀誤導。應攷慮合併大腸惡性腫瘤可能。

Keywords

壞死性筋膜炎 ； 大腸癌

Parallel abstracts

Necrotizing fasciitis is a potentially fatal infection. This disease is rarely combined with colon carcinorma. We present a 77-year-old woman who visited our ER with a chief complaint of severe abdominal pain for 3 days. Physical examination found erythematous skin with palpable crepitus and rebounding tenderness over the abdominal wall and necrotizing fasciitis of the abdominal wall was suggested. Perforated colon carcinoma with invasion to rectus abdominis resulting in abdominal necrotizing fasciitis was proved during laparotomy. When an elderly patient complains of abdominal pain, the rare situation of perforated colon carcinoma with necrotizing fasciitis should be considered.

Parallel keywords

necrotizing fasciitis ； colon carcinoma