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Fascist Leg Necrosis at the Bocar Sidi Sall University Hospital (BSS) in Kati (Mali)

Surgical Science 2022年第3期13卷 119-123页

作者： Abdoulaye Diarra Assitan Koné Amadou Traoré Koniba Kéïta Idrissa Tounkara Tounkara Issa Traoré Oumou Traoré Boubacar Karembé Madiassa Konaté Oulématou Coulibaly Modibo Togola Daouda Diallo Alhassane Traoré Bkary Tientigui Dembélé Ibrahim Diakité Adégné Togo Department of General Surgery Kati University Hospital Kati Mali Department of General Surgery CHU Gabriel Touré Bamako Mali Department of Anesthesia and Resuscitation CHU of Kati Kati Mali

necrotizing fasciitis is a bacterial dermo-hypodermitis of necrotizing type with involvement of the superficial fascia of the muscles. We report the case of a 50-year-old patient with necrotizing fasciitis of the left leg following erysipelas. Clinical Case: A 50-year-old patient, received at the emergency department for necrotizing wound of the left leg, evolving for 25 days. The examination of the patient made it possible to find: an alteration of the general condition with a WHO score classified stage II. A necrotizing wound of the lower 2/3 of the left leg and the dorsal side of the left foot allowing pus to flow in places, the pedious pulse was well perceived, lymphadenopathy at the root of the homolateral thigh. The complete blood count made it possible to objectify a predominantly neutrophil hyperleukocytosis greater than 10,000/mm3. We first carried out a complete debridement of the necrotic tissues, in a second time we took the patient back to do the autocutaneous graft. The surgical follow-up was simple. Conclusion: necrotizing fasciitis is a serious infection, management is multidisciplinary.

关键词： necrotizing fasciitis Lower Limb Kati Mali

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Fournier’s gangrene complicating severe acute pancreatitis: a case report and literature review

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Journal of Pancreatology 2021年第3期4卷 130-133页

作者： Gautham Krishnamurthy Patta Radhakrishna Aswin Khanna Karthikeyan Damodaran SIMS Institute of Gastroenterology Hepatology and Transplantation Department of Imaging Sciences SIMS HospitalSRM Institute for Medical SciencesChennaiIndia SIMS Hospital SRM Institute for Medical SciencesNo.1Jawaharlal Nehru SalaiVadapalaniChennai 600026India

Severe acute pancreatitis is commonly associated with pancreatic and extrapancreatic necrosis(EPN).Progressive EPN leading to necrotizing fasciitis of the retroperitoneum and abdominal wall has been ***,extension of retroperitoneal necrosis to the scrotum causing Fournier’s gangrene is *** present a case of 39-year-old male admitted with severe acute pancreatitis requiring prolonged mechanical *** was managed with percutaneous drainage and culture specific antibiotics during the 1st month of hospital *** the 3rd month of hospital stay,the patient started developing pain and ulceration over the *** was diagnosed with Fournier’s gangrene based on clinical examination and was planned for *** surgery,the track extending up to the deep inguinal ring was widened and drain was placed into the right lateral pelvic wall through the deep ring via a separate stab incision to reduce further scrotal wound *** case highlights a rare but potentially fatal complication of Fournier’s gangrene following severe acute necrotizing pancreatitis and the importance of measures to prevent further contamination of scrotum after surgical *** management of two potentially fatal conditions poses numerous challenges.

关键词： Case report Debridement Extrapancreatic necrosis Fournier’s gangrene necrotizing fasciitis Severe acute pancreatitis

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