{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:43:01Z","timestamp":1756381381704,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,3,17]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Endometrial cancer is the second leading cause of malignancy in women worldwide. Risk of recurrence and treatment depends on tumour grade, stage and more recently, molecular classification. This case details an atypical presentation of endometrial cancer recurrence. A postmenopausal woman presented to hospital in septic shock with anterior abdominal wall necrotising fasciitis. She was 5 years into her surveillance for FIGO (International Federation of Gynaecology and Obstetrics) Grade III, Stage IIIA mixed endometrioid and clear cell endometrial adenocarcinoma, treated by total abdominal hysterectomy, bilateral salpingo-oophorectomy, vaginal brachytherapy, radiotherapy and chemotherapy. Necrotising fasciitis was localised to a fluid collection associated with biological mesh on the anterior abdominal wall. Histopathology and cytology of the fluid collection revealed high-grade serous endometrial carcinoma. Recurrence in the incision has previously been described in the literature, however not as a fluid collection in association with biological mesh nor causing necrotising fasciitis of the anterior abdominal wall.<\/jats:p>","DOI":"10.1136\/bcr-2024-263718","type":"journal-article","created":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T02:23:45Z","timestamp":1743647025000},"page":"e263718","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Endometrial cancer recurrence presenting as anterior abdominal wall necrotising fasciitis"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2355-9416","authenticated-orcid":false,"given":"Indira Josephine","family":"Barrow","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, Alice Springs Hospital, Alice Springs, Northern Territory, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven Ronald","family":"Paredes","sequence":"additional","affiliation":[{"name":"General Surgery, Alice Springs Hospital, Alice Springs, Northern Territory, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kasia","family":"Siwicki","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Alice Springs Hospital, Alice Springs, Northern Territory, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Reddipogu","sequence":"additional","affiliation":[{"name":"General Surgery, Alice Springs Hospital, Alice Springs, Northern Territory, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,4,2]]},"reference":[{"key":"2025082803583718000_18.4.e263718.1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"2025082803583718000_18.4.e263718.2","doi-asserted-by":"crossref","first-page":"S105","DOI":"10.1016\/S0020-7292(06)60031-3","article-title":"Carcinoma of the Corpus Uteri","volume":"95","author":"Creasman","year":"2006","journal-title":"Intl J Gynecology & Obste"},{"key":"2025082803583718000_18.4.e263718.3","first-page":"258","article-title":"Current recommendations and recent progress in endometrial cancer","volume":"69","author":"Brooks","year":"2019","journal-title":"CA Cancer J Clin"},{"key":"2025082803583718000_18.4.e263718.4","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14923"},{"key":"2025082803583718000_18.4.e263718.5","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1016\/j.ygyno.2007.08.055","article-title":"Ten-year data on 138 patients with endometrial carcinoma and postoperative vaginal brachytherapy alone: no need for external-beam radiotherapy in low and intermediate risk patients","volume":"107","author":"R\u00f6per","year":"2007","journal-title":"Gynecol Oncol"},{"key":"2025082803583718000_18.4.e263718.6","doi-asserted-by":"crossref","unstructured":"D\u2019Oria O , Giannini A , Besharat AR , et al . Management of Endometrial Cancer: Molecular Identikit and Tailored Therapeutic Approach. Clin Exp Obstet Gynecol 2023;50. doi:10.31083\/j.ceog5010210","DOI":"10.31083\/j.ceog5010210"},{"key":"2025082803583718000_18.4.e263718.7","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2022-003675"},{"key":"2025082803583718000_18.4.e263718.8","doi-asserted-by":"publisher","DOI":"10.1102\/1470-7330.2013.0011"},{"key":"2025082803583718000_18.4.e263718.9","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2017.5.17395"},{"key":"2025082803583718000_18.4.e263718.10","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.gynor.2011.11.006","article-title":"Isolated port-site metastasis after laparoscopic surgery for endometrial cancer: A case report","volume":"2","author":"Palomba","year":"2011","journal-title":"Gynecol Oncol Case Rep"},{"key":"2025082803583718000_18.4.e263718.11","doi-asserted-by":"crossref","DOI":"10.1186\/s12893-024-02574-1","article-title":"Risk factors and clinical impact of seroma formation following laparoscopic inguinal hernia repair: a retrospective study","volume":"24","author":"Xie","year":"2024","journal-title":"BMC Surg"},{"key":"2025082803583718000_18.4.e263718.12","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2023-004649"},{"key":"2025082803583718000_18.4.e263718.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2015.03.047"},{"key":"2025082803583718000_18.4.e263718.14","doi-asserted-by":"crossref","first-page":"S472","DOI":"10.1016\/j.jacr.2020.09.001","article-title":"ACR Appropriateness Criteria\u00ae Pretreatment Evaluation and Follow-Up of Endometrial Cancer","volume":"17","author":"Reinhold","year":"2020","journal-title":"J Am Coll Radiol"},{"key":"2025082803583718000_18.4.e263718.15","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2000.5820"},{"key":"2025082803583718000_18.4.e263718.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2006.02.011"},{"key":"2025082803583718000_18.4.e263718.17","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/j.ygyno.2010.08.013","article-title":"Predictive factors for prolonged survival in recurrent endometrial carcinoma: Implications for follow-up protocol","volume":"119","author":"Otsuka","year":"2010","journal-title":"Gynecol Oncol"},{"key":"2025082803583718000_18.4.e263718.18","doi-asserted-by":"crossref","first-page":"e72","DOI":"10.1308\/rcsann.2016.0341","article-title":"Necrotising fasciitis caused by metastatic endometrial cancer: a rare cause of a life-threatening condition","volume":"99","author":"Hendrickson","year":"2017","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082803583718000_18.4.e263718.19","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.49.2964"},{"key":"2025082803583718000_18.4.e263718.20","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjad417","article-title":"Abdominal wall necrotizing fasciitis as a complication of strangulated hernia - an ominous consequence of a preventable scenario","volume":"2023","author":"Lahham","year":"2023","journal-title":"J Surg Case Rep"},{"key":"2025082803583718000_18.4.e263718.21","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200308000-00005"},{"key":"2025082803583718000_18.4.e263718.22","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2010.50"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263718","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:58:46Z","timestamp":1756378726000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263718"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":22,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,4,2]]},"published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1136\/bcr-2024-263718"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263718","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,4]]}}}