Abstract
A 74-year-old man admitted to the hospital for close examination of an abdominal pain developed muscular defence, remarkable metabolic acidosis, coma and respiratory arrest immediately after a progressive distension of the abdomen. After resuscitation, an exploratory laparotomy was carried out. There were massive black ascites, gangrene spreading from the rectal colon over the end of the terminal ileum, and a carcinoma in the anal side rectum. All mesenteric vessels were pulsating normally. The whole necrotic lesion including the carcinoma was resected and a ileostomy was made. Sixty-five days later the patient died of multiple organ failure. This paper describes a rare case of severe obstructive necrotizing enterocolitis associated with carcinoma of the rectum, with a review of the literature.
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