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Acute scrotal swelling following perforated rectal carcinoma with abscess formation

; 
Newman, Matthew
; 
Abstract
A 59-year-old cachectic male was referred to the surgical outpatient department with intermittent haematochezia and a longstanding change in bowel habit with associated weight loss and anaemia. Following investigation, he was diagnosed with a large rectal tumour with multiple metastases. 7 days later, the patient presented again with fevers, bilious vomiting, abdominal pain and distension. On examination, he had a generally tender abdomen,= although no peritonism, but an enlarged, extremely tender hemiscrotum with no cough reflex. Imaging revealed a perforated rectum and subsequent abscess formation, which tracked via an unusual anatomical route to present as scrotal swelling.
MIDER Authors
Chauhan, Vishnusai
Newman, Matthew
Sinha, Rakesh
Citations
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Date
2016-06-06
Type
Article
Subject
Radiology, Gastroenterology, Urology, Surgery
Collections
SWFT General Surgery
Reports
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Citation
Chauhan V, Newman M, Sinha R. Acute scrotal swelling following perforated rectal carcinoma with abscess formation. BJR Case Rep. 2016 Nov 2;2(4):20150284. doi: 10.1259/bjrcr.20150284.
Journal / Source Title
BJR Case Reports
DOI
10.1259/bjrcr.20150284
URI
http://hdl.handle.net/20.500.14200/7623
PMID
30460014
Publisher
Oxford University Press
British Institute of Radiology
Publisher’s URL
https://pmc.ncbi.nlm.nih.gov/articles/PMC6243293/
Publisher’s statement
Note / Copyright