Pelvic Necrosis with Formation of a Pelvic “Cloaca” and Necrotizing Soft Tissue Infection After Radiation for Anal Squamous Cell Carcinoma

Angeline C. Rivkin; Adil H. Khan; Anders F. Mellgren; Alejandra M. Perez-Tamayo; Vivek Chaudhry; Elisa M. Bianchi; Mohamad A. Abdulhai

doi:10.12659/AJCR.943599

30 July 2024 : Case report USA

Pelvic Necrosis with Formation of a Pelvic “Cloaca” and Necrotizing Soft Tissue Infection After Radiation for Anal Squamous Cell Carcinoma

Unusual clinical course, Challenging differential diagnosis, Management of emergency care

Angeline C. Rivkin^1BDEF, Adil H. Khan^2BD, Anders F. Mellgren^2AG, Alejandra M. Perez-Tamayo^2AG, Vivek Chaudhry^2AG, Elisa M. Bianchi^2AG, Mohamad A. Abdulhai^2ABDE*

DOI: 10.12659/AJCR.943599

Am J Case Rep 2024; 25:e943599

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Figure 1. Computed tomography of the abdomen and pelvis at presentation. Images are at the level of the acetabulum of the femur (A, C), and the ischial tuberosities (B). Soft-tissue emphysema can be seen in the right ischiorectal space tracking from a large pelvic cavity (solid arrow). Hyper-reflective ureteral stents are seen within the pelvic cavity (dashed arrow). Image quality is limited by motion artifact.

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Pelvic Necrosis with Formation of a Pelvic “Cloaca” and Necrotizing Soft Tissue Infection After Radiation for Anal Squamous Cell Carcinoma

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