Gangrene secondary to perineal invasion by rectal cancer:A case report and literature review

Author:

Li Xinyu1,Shan Junqi2,Ren Bingbing2,Sun Yanlai2

Affiliation:

1. Weifang Medical University School of Clinical Medicine

2. Department of Gastrointestinal Cancer Surgery, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences

Abstract

Abstract Background Colorectal cancer(CRC) is currently the third most common cancer in the world. It usually metastasizes through lymphatic, blood, and intraperitoneal implantation. However, rectal cancer combined with perineal invasion after treated with chemotherapy is very rare. Case presentation: A 53-year-old male patient had a history of rectal cancer developed a recto-perineal fistula with redness, swelling and pain in the scrotum after repeated chemotherapy. After CT examination and investigative observation, the patient was diagnosed with a recto-perineal fistula. After surgical debridement and postoperative implant treatment, the patient's infection resolved, and the skin-grafting treatment worked well.

Publisher

Research Square Platform LLC

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