A Case of Rectal Carcinoma with Recurrence around the Drainage Site Complicated by Fournier's Gangrene

Kaoru Abe, Hitoshi Kameyama, Yoshifumi Shimada, Saki Yamada, Daiki Soma, Ryoma Yagi, Kohei Miura, Kumiko Tatsuda, Yosuke Tajima, Takuma Okamura, Mae Nakano, Masato Nakano, Takashi Kobayashi, Shin ichi Kosugi, Toshifumi Wakai

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Abstract

A 71-year-old woman diagnosed with Fournier's gangrene caused by penetration of a rectal carcinoma was referred to our hospital. Emergency drainage and sigmoid colostomy were performed. Pathological examination of a biopsy sample showed moderately differentiated tubular adenocarcinoma. Abdominoperineal resection with bilateral salpingo-oophorectomy and hysterectomy was performed with curative intent after 4 courses of chemotherapy with S-1 and oxaliplatin. The postoperative pathological diagnosis was StageⅡ (pT4bN0M0). The patient received tegafur/uracil and Leucovorin as adjuvant chemotherapy. Seven months after the curative operation, partial pneumonectomy was performed for the recurrence of the rectal carcinoma in the right lung. Eight months after pneumonectomy, recurrent tumors were observed in the right lung and subcutaneous fat layer of the right buttock along the drainage site. The tumor in the right buttock was excised along with part of the gluteus maximus, and partial pneumonectomy was then performed. Three years and 6 months after the emergency drainage, the patient is alive with no evidence of recurrence. After drainage for rectal carcinoma complicated by Fournier's gangrene, the possibility of recurrence around the drainage site should be considered.

Original languageEnglish
Pages (from-to)2291-2293
Number of pages3
JournalGan to kagaku ryoho. Cancer & chemotherapy
Volume42
Issue number12
Publication statusPublished - 01-11-2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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