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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

Necrotising soft tissue infection of the lower limb due to a perforated caecal carcinoma: a case report

Journal of Medical Case Reports > Ausgabe 1/2014
Simon J Timbrell, David Straiton, Elliot Breaks, Karim Sillah, Neil Khan
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-8-80) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

ST collated data and wrote the manuscript. DS collected data and reviewed the manuscript. EB contributed to the literature review and the writing of the manuscript. KS was also involved in the patient’s care and the writing of the manuscript. NK was the consultant for our patient and reviewed the manuscript. All authors read and approved the final manuscript.



We report the first case to our knowledge where an ascending colorectal tumour presented as a necrotising lower leg infection.

Case presentation

We describe the unusual presentation of a previously unknown caecal carcinoma in a 69-year-old Caucasian man, which presented as a rapidly spreading limb infection due to a perforated caecal adenocarcinoma. This case presented a diagnostic dilemma and we document the investigation and management in our patient and compare this to the current published literature.


Although rare, this case highlights how leg swelling and in particular, thigh and gluteal swelling, have the potential to be an unusual presentation of a caecal carcinoma.

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