{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:10:01Z","timestamp":1756361401242,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,8,25]]},"abstract":"<jats:p>Necrotising infection of the lower limb is a rare presentation for colorectal malignancy. We report a case of a perforated caecal adenocarcinoma presenting with right leg erythema, pain and swelling in the presence of a right lower lobe lung opacity. Following initial debridement and washout, CT imaging demonstrated a thickened terminal ileum, caecum and appendix, in keeping with primary malignancy. This fed the right-sided lower limb sepsis tracking down from the medial aspect of the psoas muscle to give rise to the multiloculated collection seen in the adductor compartment. The lung lesion measured 16\u2009mm and was metastatic. The patient was successfully managed with a subtotal colectomy and an end ileostomy. The biopsy confirmed an adenocarcinoma (T4N1M1). We highlight the importance of perforated colonic carcinoma as a leading differential for lower limb abscesses. Suspicions should be raised further if accompanied by rounded opacifications on plain film radiography of the lungs.<\/jats:p>","DOI":"10.1136\/bcr-2017-220752","type":"journal-article","created":{"date-parts":[[2017,9,7]],"date-time":"2017-09-07T06:42:45Z","timestamp":1504766565000},"page":"bcr-2017-220752","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Caecal cancer presenting as leg erythema and a lung opacity"],"prefix":"10.1136","volume":"2017","author":[{"given":"Archik","family":"Das","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, University Hospital Coventry, Coventry, West Midlands, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalid","family":"Hureibi","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, University Hospital Coventry, Coventry, West Midlands, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Tayyab","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, University Hospital Coventry, Coventry, West Midlands, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"McCullough","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, University Hospital Coventry, Coventry, West Midlands, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,9,7]]},"reference":[{"key":"2025082722474944000_2017.sep06_1.bcr-2017-220752.1","unstructured":"Cancer research UK. 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Bowel cancer mortality statistics. http:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/bowel-cancer\/mortality"},{"key":"2025082722474944000_2017.sep06_1.bcr-2017-220752.3","unstructured":"Clinical presentation, diagnosis and staging of colorectal cancer. http:\/\/www.uptodate.com\/contents\/clinical-presentation-diagnosis-and-staging-of-colorectal-cancer"},{"key":"2025082722474944000_2017.sep06_1.bcr-2017-220752.4","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/s12029-010-9155-y","article-title":"Right gluteal abscess: an unusual presentation of perforated caecal adenocarcinoma","volume":"41","author":"Mohandas","year":"2010","journal-title":"J Gastrointest Cancer"},{"key":"2025082722474944000_2017.sep06_1.bcr-2017-220752.5","doi-asserted-by":"crossref","first-page":"371","DOI":"10.9738\/INTSURG-D-13-00116.1","article-title":"Carcinoma cecum presenting as right gluteal abscess through inferior lumbar triangle pathway-report of a rare case","volume":"99","author":"Karthikeyan","year":"2014","journal-title":"Int Surg"},{"key":"2025082722474944000_2017.sep06_1.bcr-2017-220752.6","doi-asserted-by":"publisher","DOI":"10.1007\/s005350170047"},{"key":"2025082722474944000_2017.sep06_1.bcr-2017-220752.7","first-page":"107","article-title":"Unusual abscesses associated with colon cancer: report of three cases","volume":"61","author":"Okita","year":"2007","journal-title":"Acta Med Okayama"},{"key":"2025082722474944000_2017.sep06_1.bcr-2017-220752.8","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1097\/00007611-199709000-00019","article-title":"Perforated cecal adenocarcinoma presenting as a thigh abscess","volume":"90","author":"Mann","year":"1997","journal-title":"South Med J"},{"key":"2025082722474944000_2017.sep06_1.bcr-2017-220752.9","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/1752-1947-8-80","article-title":"Necrotising soft tissue infection of the lower limb due to a perforated caecal carcinoma: a case report","volume":"8","author":"Timbrell","year":"2014","journal-title":"J Med Case Rep"},{"key":"2025082722474944000_2017.sep06_1.bcr-2017-220752.10","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1007\/s00508-014-0651-0","article-title":"Thigh abscess as an extension of psoas abscess: the first manifestation of perforated appendiceal adenocarcinoma: case report","volume":"127","author":"Petrovic","year":"2015","journal-title":"Wien Klin Wochenschr"},{"key":"2025082722474944000_2017.sep06_1.bcr-2017-220752.11","first-page":"1","article-title":"Colorectal Cancer Metastasis to the Thymus Gland: Rare Presentation of Colorectal Cancer as Anterior Mediastinal Mass","volume":"2017","author":"Peters","year":"2017","journal-title":"Case Rep Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-220752","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:48:03Z","timestamp":1756360083000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-220752"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,7]]},"references-count":11,"alternative-id":["10.1136\/bcr-2017-220752"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-220752","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,9,7]]}}}