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A multidisciplinary rectal cancer team recommended against neoadjuvant chemoradiation or chemotherapy in his current state. He underwent up-front, urgent robotic-assisted abdominoperineal resection with immediate oblique rectus abdominus muscle flap closure. Final pathology demonstrated a T4N1b adenocarcinoma with negative resection margins. The patient subsequently underwent adjuvant chemotherapy. Now at over 18 months, he remains cancer free.<\/jats:p>","DOI":"10.1093\/jscr\/rjac318","type":"journal-article","created":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T12:33:14Z","timestamp":1659357194000},"source":"Crossref","is-referenced-by-count":2,"title":["Presentation and management of a case of rectal cancer complicated by perforation and necrotizing soft tissue infection"],"prefix":"10.1093","volume":"2022","author":[{"given":"Chad E","family":"Cragle","sequence":"first","affiliation":[{"name":"General and Thoracic Surgery, Virginia Mason Medical Center , Seattle, WA 98101 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Schlenker","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Virginia Mason Medical Center , Seattle, WA 98101 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravi","family":"Moonka","sequence":"additional","affiliation":[{"name":"Colon and Rectal Surgery, 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