Journal of Gastrointestinal Cancer

, Volume 50, Issue 4, pp 1001–1004 | Cite as

Clostridium septicum Myonecrosis Secondary to an Occult Small Bowel Adenocarcinoma

  • Rachel N. SaundersEmail author
  • Emiko Hayakawa
  • Charles J. Gibson
  • Alistair J. Chapman
Case Report


Small bowel malignancies are rare accounting for only 1–5% of gastrointestinal malignancies. Small bowel adenocarcinoma is the second most common small bowel malignancy. They are difficult to diagnose secondary to vague symptoms including abdominal pain, weight loss, melena, and anemia, and the majority are diagnosed with advanced stage disease [1, 2, 3, 4].

Clostridial myonecrosis/gas gangrene is a subtype of necrotizing soft tissues infections. Spontaneous/atraumatic clostridial myonecrosis is most commonly caused by Clostridium septicum [5]. Although 77% of reported clostridial septicum myonecroses are secondary to gastrointestinal malignancy, only one prior case report was found associating it with small bowel adenocarcinoma [5, 6, 7]. That case was reported in 1985 in a 29-year-old male with cystic fibrosis who presented with myonecrosis of the left chest, which eventually spread throughout the chest and to the abdominal wall. He died within 24 hours of his first...


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Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Spectrum Health/Michigan State University General Surgery ResidencyGrand RapidsUSA
  2. 2.Spectrum Health Hospital, Acute Care SurgeryGrand RapidsUSA

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