| Tissue-Conserving, yet Radical Surgery for Extensive Gas-Forming Soft Tissue Infections Arising from Perirectal Abscess: Report of a Case. | |
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MedLine Citation:
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PMID: 23039233 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Abstract Background: Perirectal abscess is encountered commonly in surgical practice, and simple incision and drainage usually is sufficient. However, life-threatening sepsis may occur. In such instances, the high morbidity and mortality rates from the severe systemic inflammatory response syndrome (SIRS) associated with rapidly evolving necrotizing and gas-forming soft tissue infections are of major concern. Methods: Case report and review of pertinent literature. Results: A rare case of extensive necrotizing fasciitis of the torso arising from a perirectal abscess, in which the principles of radical surgical debridement were adhered to while minimizing disfigurement, is reported in a 19-year-old female. In some cases, despite the life-threatening nature of necrotizing fasciitis, it is possible to minimize tissue loss without compromising patient survival. Conclusion: Planning of the patient's site rehabilitation for maximum cosmetic outcome commences at the time of surgical debridement and is especially important for the young patient. |
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Authors:
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Yahya A Al-Abed; Ioannus Sagriotis; Mohamed Elsherif; Benajmin White; O Oluwajobi; Nasser Alobaid |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-10-5 |
Journal Detail:
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Title: Surgical infections Volume: - ISSN: 1557-8674 ISO Abbreviation: Surg Infect (Larchmt) Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-8 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9815642 Medline TA: Surg Infect (Larchmt) Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of General Surgery, North Middlesex University Hospital National Health Service Trust , Sterling Way, United Kingdom . |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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