The Complication of a Periproctal Abscess – Fourniér’s Gangrene or Necrotizing Fasciitis? A Case Report

Česká verzia

Authors: M. Pirkl; L. Sákra; S. Kašpar; Michal Černý
Authors place of work: Fakulta zdravotnických studií Univerzity Pardubice, děkan prof. MUDr. A. Pellant, DrSc. ; Chirurgická klinika, Pardubická krajská nemocnice, a. s., přednosta doc. MUDr. K. Havlíček, CSc.
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 7, s. 403-408.
Category: Monothematic special - Original

Summary

Introduction:
Periproctal abscess is a routine diagnosis of everyday surgical practice. Fourniér’s gangrene with progress to the sepsis is one of the most serious complication of this disease.

Case report:
The authors present a case review of fulminant surgical infection run as a Fourniér’s gangrene and a necrotizig fasciitis of a right lower limb and body with the progress of severe septic status, which started on the strength of a contusion with formation of a periproctal absceding haematoma. A patienthood led to the long-term intensive care with a necessity of multiple surgeries and with subsequent rehabilitative care. This case is rare by the origin of thus extensive infection of soft tissue and its illustration of the heftiness of the patient’s treatment with such a disease.

Conclusion:
Fourniér’s gangrene and necrotizing fasciitis are loaded by a high-grade of mortality. It is one of the most serious surgical infection, which ends by death frequently. The therapy is primarily surgical, but it cannot be sufficient without aggressive intensive care of a patient.

Key words:
periproctal abscess – Fourniér’s gangrene – necrotizing fasciitis – sepsis

Zdroje

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