Necrotizing Fasciitis Secondary to a Primary Suture for Anoperineal Trauma by Motorcycle Accident in a Healthy Adult
| Autor: | Minako Kobayashi, Yasuhiro Inoue, Masaki Ohi, Susumu Saigusa, Ryo Uratani, Hiroki Imaoka |
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| Rok vydání: | 2015 |
| Předmět: |
Primary suture
medicine.medical_specialty Debridement Motorcycle accident business.industry medicine.medical_treatment lcsh:Medical emergencies. Critical care. Intensive care. First aid Poison control Case Report lcsh:RC86-88.9 General Medicine medicine.disease Surgery medicine.anatomical_structure Scrotum Medicine medicine.symptom Abdominal computed tomography business Fasciitis Subcutaneous emphysema |
| Zdroj: | Case Reports in Emergency Medicine Case Reports in Emergency Medicine, Vol 2015 (2015) |
| ISSN: | 2090-6498 2090-648X |
| Popis: | A 41-year-old man experienced a swollen scrotum three days after a motorcycle accident and presented to our hospital. He had had a primary suture repair for anoperineal trauma in an outside hospital at the time of the injury. He presented to us with general fatigue, low grade fevers, and perineal pain. Abdominal computed tomography showed subcutaneous emphysema from the scrotum to the left chest. The sutured wound had foul-smelling discharge and white exudate. We made the diagnosis of necrotizing fasciitis and immediately opened the sutured wound and performed initial debridement and lavage with copious irrigation. We continued antibiotics and lavage of the wound until the infection was controlled. Fortunately, the necrotizing fasciitis did not worsen and he was discharged after 15 days. Our experience indicates that anoperineal injuries should not be closed without careful and intensive follow-up due to the potential of developing necrotizing fasciitis. |
| Databáze: | OpenAIRE |
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