Document Detail

Tissue-Conserving, yet Radical Surgery for Extensive Gas-Forming Soft Tissue Infections Arising from Perirectal Abscess: Report of a Case.
MedLine Citation:
PMID:  23039233     Owner:  NLM     Status:  Publisher    
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.
Yahya A Al-Abed; Ioannus Sagriotis; Mohamed Elsherif; Benajmin White; O Oluwajobi; Nasser Alobaid
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-5
Journal Detail:
Title:  Surgical infections     Volume:  -     ISSN:  1557-8674     ISO Abbreviation:  Surg Infect (Larchmt)     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815642     Medline TA:  Surg Infect (Larchmt)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of General Surgery, North Middlesex University Hospital National Health Service Trust , Sterling Way, United Kingdom .
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