Abstract
A case of necrotizing fascitis which came to hastily death derived from ceacum carcinoma is reported. A 72-year-old man was admitted to the hospital because of a right lower abdominal tumor. From barium enema and endoscopic examination on admission, a diagnosis of ceacum carcinoma was made. However, since the day before operation skin necrosis with blister in the right thigh appeared, and the penetration of ceacum carcinoma into the right thigh was suspected. After the incision and debridment of necrotic tissues, right hemicolectomy was performed. After operation the patient was accompanied by DIC and MOF, and died in the 2nd postoperative day.
Necrotising fascitis is a relatively rare and severe skin soft tissue infectious disease. It is also very rare that it is accompanied with a disease on gastroenterological surgery. The prognosis of this disease is so poor that the importance of adequate treatment entertaining a possible association of this disease is emphasized when we encounter a case presenting with vast skin necrosis with general symptoms, even if there is no external injury.
