BMJ Case Reports 2011; doi:10.1136/bcr.06.2011.4372
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Rectocutaneous fistula with Fournier’s gangrene, a rare presentation of rectal cancer

  1. Deirdre O’Hanlon1
  1. 1General Surgery Department, South Infirmary Victoria Hospital, Cork, Ireland
  2. 2Radiology Department, South Infirmary Victoria University Hospital, Cork, Ireland
  1. Correspondence to Dr Simon Rajendran, simonrajendran{at}


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 …

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