Rectocutaneous fistula with Fournier’s gangrene, a rare presentation of rectal cancer
- 1General Surgery Department, South Infirmary Victoria Hospital, Cork, Ireland
- 2Radiology Department, South Infirmary Victoria University Hospital, Cork, Ireland
- Correspondence to Dr Simon Rajendran, simonrajendran{at}gmail.com
Description
73-year-old female presented with foul smelling discharge from the perianal area. Examination revealed cutaneous fistula, discharging faeculent material. CT showed a large rectal tumour with gross evasion of the perianal tissues, with extension into vagina and subcutaneous tissue bilaterally and a large volume of air in tissues (figure 1). Laparotomy demonstrated rectal tumour, Fournier’s grangrene with abscess cavities on both sides, disruption of the lower end of …
