A Necrotizing Fasciitis of an Abdominal Wall after a Cholecystectomia – A Case Report
Authors:
J. Jandík; J. Vokurka
Authors place of work:
Chirurgické oddělení, Oblastní nemocnice Rychnov nad Kněžnou, a. s., prim. MUDr. J. Kudr
Published in the journal:
Rozhl. Chir., 2009, roč. 88, č. 1, s. 27-31.
Category:
Monothematic special - Original
Summary
The authors present a case review of a patient with a life threatening infectious complication after a routine operation with an accent on urgent diagnosis and treatment. A sepsis with an extensive necrotizing anaerobic infection of the surgical wound with a destruction of abdominal wound developed in 48 hours after a cholecystectomia. The patient status required repeatedly an extensive necrectomy with a hospitalization on an intensive care unit with a necessity of an arteficial pulmonary ventilation and a circulation support. A resulting large defect of an abdominal wall was fully healed by using a vacuum sealing treatment and a dermoepidermal skin graft.
Key words:
necrotizing fasciitis – surgical wound infection – complications after cholecystectomy – clostridial infection – necrotizing soft tissue infections
Zdroje
1. McHenry, C. R., Piotrowsky, J. J., Petrinic, D., Malangoni, M. A. Determinants of mortality for necrotising soft-tissue infections. Ann. Surg., 1995, Vol. 221, No. 5, 558–565.
2. Taviloglu, K., Yanar, H. Necrotising fasciitis: strategies for diagnosis and management. Word J. Emerg. Surg., 2007, 2: 19.
3. Rea, W. J., Wyrick, W. J. Necrotising fasciitis. Ann. Surg., 1970 Dec, 172(6): 957–964.
4. Elliot, D. C., Kufera, J. A., Myers, R. A. M. Necrotising soft tissue infections. Ann. Surg., 1996, vol. 224, No. 5, 672–683.
5. Harrison, B. J. Perforated sigmoid diverticulum with necrotizing fasciitis of the abdominal wall. J. R. Soc. Med., 1981 August, 74(8), 625–626.
6. Hasham, S., Matteucci, P., Stanley, P. R. W., Hart, N. B. Necrotiíiarfasciitis. B M J., 2005 April 9, 330(7495), 830–833.
7. Stone, H. H., Martin, J. D. Jr. Synergistic necrotizing cellulitis. Ann. Surg., 1972 May, 175(5): 702–711.
8. Sudarsky, L. A., Laschinger, J. C., Coppa, G. F., Spenser, F. C. Improved results from a standardized approach in treating patiens with necrotizing fasciitis. Ann. Surg., 1987 November, 206(5): 661–665.
9. Way, L.W., et al. Současná chirurgická diagnostika a léčba. Grada Publ., 1998, 1. díl, s. 161–162.
10. Plodr, M., Čermák, P., Ferko, A. K problematice klasifikace infekcí měkkých tkání. Rozhl. Chir., 2006, roč. 85, č.11, s. 560–565.
11. Sikora, C. A., Spielman, J., MacDonald, K., Tyrrell, G. J., Embil, J. M. Necrotising fasciitis resulting from human bites: A report of two CASE of disease cause by group A streptococcus. Can. J. Infect. Dis. Med. Microbiol., 2005, 16(4): 221–224.
12. Walter, R. A fatal case of necrotizing fasciitis of the eyelid. Br. J. Ophtalmol., 1998, June, 72(6): 428–431.
13. Persaud, R., Krahé, D., Georgalas, C, Kaniyur, S., Das, S., Alusi, G. Life-treatening necrotizing fasciitis of the neck: an unusual consequence of a sore throat. Ann. R. Coll. Surg. Eng., 2004, 86: 253–257.
14. Bauwell, P.E., Pereira, J., Powell, B. W. Symmetrical necrotising chest wall infection following paronychia. J. Accid Emerg. Med., 1998 January, 15(1): 58–59.
15. College‘s committee on operating room enviroment: Guideline for prevention of surgical site infection. Bulletin of the American College of Surgeons, July 2000, vol. 85, No. 7.
16. Poromanski, I., Andriessen, A. Developing a tool to diagnose case of necrotisng fasciitis. J. Wound Care, 2004, 13: 307–310.
17. Wong, Ch., Chang, H. C., Pasupathy, S., Khin, L. W., Tan, J. L., Low, C. O. Necrotizing fasciitis: clinical presentation, microbiology and determinants of mortality. J. Bone Joint Surg. Am., 2003 Aug, 85-A(8): 1454–1460.
18. Yaghoubian, A., De Virgulko, Ch., Dauphine, Ch., Lewis, R. J., Lin, M. Use of admission serum lactate and podium levels to predict mortality in necrotizing soft-tissue infections. Arch. Surg., 2007, 142(9): 840–846.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2009 Číslo 1
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
Najčítanejšie v tomto čísle
- Necrotizing Fasciitis – A Rare Complication of Laparoscopic Appendectomy
- Neurogenous Cervical Tumors
- Laparoscopic Splenectomy – Our Experience
- Mid-term Outcomes and Survival Rates in Patients with Radical Retropubic Prostatectomy (RRP) Under Current Czech Healthcare System