Hepatoid Adenocarcinoma Presenting as a Necrotizing Soft Tissue Infection of the Abdominal Wall

Kristin Shields, Panna Codner, Christopher Dodgion, Lewis Somberg and John A Weigelt

Department of Surgery, Western Plains Medical Complex, Dodge City, KS, USA
Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

^*Correspondance to: Kristin Shields 

 PDF  Full Text DOI: 10.25107/2474-1647.1490

Abstract

A 46 y/o presented with a necrotizing soft tissue infection of the anterior abdominal wall. She denied recent trauma. She had recently been treated for sciatica, but had not been on any long term medications. Her symptoms worsened over the last week. She had an abdominal mass with diffuse abdominal tenderness. Her initial treatment was consistent with principles for managing a complicated skin and soft tissue infection including resuscitation, broad spectrum antibiotics and excision and incision of tissues. Tissues removed included her abdominal mass. Her pathology eventually revealed a hepatoid carcinoma of unknown but likely gynecologic origin. While uncommon, an underlying malignancy is a consideration in a patient with a necrotizing soft tissue infection whose clinical presentation is not typical.

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Cite the article

Shields K, Codner P, Dodgion C, Somberg L, Weigelt JA. Hepatoid Adenocarcinoma Presenting as a Necrotizing Soft Tissue Infection of the Abdominal Wall. Clin Surg. 2017; 2: 1490.