Snapshot quiz 11/12

Published: 06/04/2012

Authors: Maternini M, Uggeri F, Romano F, Colombo G and Uggeri F

This 87-year-old man had a rectal cancer over the limits of surgical resection diagnosed in May 2010. The patient refused any palliative chemoradiotherapy or colostomy. He presented six months later with a history of four days of scrotal and anal pain. An abdominal CT scan showed advanced rectal cancer with a probable perianal fistula. The treatment was extensive debridement of the necrotic scrotal tissue with creation of an end colostomy. Later the patient underwent multiple surgical debridements with complete regional healing. Unfortunately, he subsequently died from cardiac complications.