scholarly journals Supralevator Abscess Complicated by Necrotic Fasciitis of Peritoneum, Genitalia, Anterior Abdominal Wall and Retroperitoneum.

2021 ◽  
Vol 5 (2) ◽  
pp. 896-898
Author(s):  
Elena Hadzhieva ◽  
Dzhevdet Chakarov ◽  
Evgenii Moshekov ◽  
Dimitar Hadzhiev ◽  
Yordan Kalchev ◽  
...  
Keyword(s):  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Operative Treatment ◽  
Clinical Presentation ◽  
Anterior Abdominal Wall ◽  
Intensive Therapy ◽  
Surgical Debridement ◽  
Anorectal Abscess ◽  
Destructive Inflammation ◽  
Septic Condition

A supralevator anorectal abscess may lead to a rare clinical complication, such as perineal necrotizing fasciitis. A 57-year-old man was admitted on an emergency basis with evidence of a deep anorectal abscess of 5-day duration. The clinical presentation involved an unbounded purulent destructive inflammation spreading onto the adjacent areas, with the development of a septic condition. Following a short preparation, a radical surgical debridement of a subfascial purulent necrotic phlegmon of the pelvic space was performed. Since the lower part of the abdomen, retroperitoneum and scrotum were involved, 4 additional subsequent necrectomies were performed at 48-hour intervals. The aggressive radical operative treatment and the combined intensive therapy were the main contributors to the favorable outcome of the disease.

Anterior abdominal wall necrotizing fasciitis due to strangulated umbilical hernia: a diagnostic dilemma

Grand Rounds ◽  
2013 ◽  
Vol 13 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Michael Bartholomew Mwandri ◽  
Julius Chacha Mwita ◽  
Negussie Alula Bekele ◽  
Ibrahim Mohamed Ali ◽  
Michael Stephen Walsh
Keyword(s):  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Umbilical Hernia ◽  
Anterior Abdominal Wall ◽  
Diagnostic Dilemma

scholarly journals Necrotizing Fasciilitis of the Anterior Abdominal Wall Following Myomectomy in an Obese Diabetic Patient: A Case Report

2018 ◽  
Vol 5 (3) ◽  
pp. 3704-3706
Author(s):  
Iornum H. Shambe ◽  
Ismaila O. Bashiru ◽  
Kenneth N. Ozoilo
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Mortality Rates ◽  
High Morbidity ◽  
Aggressive Treatment ◽  
Subcutaneous Tissues ◽  
Wall Following ◽  
Obese Diabetic Patient

Necrotizing fasciitis is a progressive infection of fascia that is associated with necrosis of subcutaneous tissues. It has high morbidity and mortality rates because the diagnosis is often not made early enough to institute the aggressive treatment that is necessary to prevent death. We herein report a case of necrotizing fasciitis of the anterior abdominal wall following a myomectomy in an obese diabetic female that was diagnosed early enough to allow for a favorable outcome following aggressive antibiotic therapy and surgical debridement.

Chemical necrotizing fasciitis due to household insecticide injection: is immediate radical surgical debridement necessary?

2002 ◽  
Vol 21 (12) ◽  
pp. 687-690 ◽  
Author(s):  
C Terzi ◽  
A Bacakoglu ◽  
T Ünek ◽  
M H Özkan
Keyword(s):  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Chest Wall ◽  
Anterior Chest Wall ◽  
Upper Extremities ◽  
Surgical Debridement ◽  
Epigastric Region ◽  
Close Observation

We describe two cases of chemical necrotizing fasciitis in the upper extremities, anterior chest wall and epigastric region of the abdominal wall caused by household insecticide injection. We suggest that surgical debridement can be successfully performed in the subacute period under close observation in hemodynamically stable patients.

scholarly journals Necrotizing Fasciitis of the Chest in a Neonate in Southern Nigeria

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Oluwafemi Olasupo Awe ◽  
Emeka B. Kesieme ◽  
Babatunde Kayode-Adedeji ◽  
Quinzy O. Aigbonoga
Keyword(s):  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Pleural Space ◽  
Excellent Outcome ◽  
Multidisciplinary Cooperation ◽  
Southern Nigeria ◽  
Male Neonate ◽  
The Right

We discuss the successful saving of a male neonate with necrotizing fasciitis of the chest following a hot fomentation of the umbilicus with exposure of the ribs and the pleural space on the right side. He recovered 5 weeks after admission. We stressed the need to recognize necrotizing fasciitis extending from the upper anterior abdominal wall to the chest following hot fomentation of the umbilicus. The need for multidisciplinary cooperation for excellent outcome is very important, that is, neonatologist, medical microbiologist, and plastic and chest surgeons.

scholarly journals Necrotizing fasciitis of anterior abdominal wall following cesarean section in a low-risk patient

2016 ◽  
Vol 2016 (7) ◽  
pp. rjw122 ◽  
Author(s):  
Manisha Chhetry ◽  
Basudeb Banerjee ◽  
Shanti Subedi ◽  
Ashok Koirala
Keyword(s):  
Cesarean Section ◽  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Low Risk ◽  
Risk Patient ◽  
Wall Following

scholarly journals Pleural Mesothelioma Presenting as Periumbilical Metastasis: The First Clinical Documentation

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
R. F. Falkenstern-Ge ◽  
M. Kimmich ◽  
S. Bode-Erdmann ◽  
G. Friedel ◽  
G. Ott ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Systemic Chemotherapy ◽  
Clinical Presentation ◽  
Pleural Cavity ◽  
Anterior Abdominal Wall ◽  
Subcutaneous Tissue ◽  
Pleural Mesothelioma ◽  
Fatty Tissue ◽  
Clinical Documentation ◽  
Subcutaneous Fatty Tissue

Introduction. Pleural mesothelioma with metastasis to the subcutaneous tissue of the abdominal wall at first diagnosis and without penetration into the peritoneum is an extremely rare clinical presentation.Methods. Patients with pleural mesothelioma have low survival rate. Usually, the disease at presentation is confined to its site of origin (most often the pleural cavity). A 55-year-old man was referred to our center due to increasing dyspnea and a painful periumbilical mass in the anterior abdominal wall. CT scan revealed both advanced mesothelioma of the pleura and a tumor mass confined to the subcutaneous fatty tissue without penetration through the peritoneum.Results. Video-assisted thoracoscopy confirmed the diagnosis of epithelioid pleural mesothelioma, which was also confirmed by a biopsy of the periumbilical mass. Systemic chemotherapy with cisplatin and pemetrexed was initiated. Under the ongoing systemic chemotherapy, the evaluation revealed partial remission of pleura mesothelioma and its subcutaneous manifestation of the abdominal wall.Conclusion. Mesothelioma of the pleura with a simultaneous metastasis to the subcutaneous fatty tissue of the abdominal wall at presentation without penetration of peritoneum is a rare clinical presentation of mesothelioma disease. The knowledge of its natural history is very limited. This is the first ever clinical documentation of a patient with pleura mesothelioma and simultaneous subcutaneous manifestation of abdominal wall.

scholarly journals Abdominal Wall Dyskinesia: Case Report

2020 ◽  
Vol 12 (1) ◽  
pp. 69-72 ◽  
Author(s):  
Leyla Cavdar ◽  
Solomon Ajasin ◽  
Scott Woolf ◽  
Robert Fekete
Keyword(s):  
Case Report ◽  
Abdominal Surgery ◽  
Abdominal Wall ◽  
Dopamine Receptor ◽  
Clinical Presentation ◽  
Anterior Abdominal Wall ◽  
Rare Condition ◽  
Receptor Blocking ◽  
Involuntary Movements ◽  
Tardive Syndrome

The clinical presentation of repetitive choreiform involuntary movements of the anterior abdominal wall was first introduced as “belly dancer’s dyskinesia.” Etiologies of this rare condition include idiopathic causes, medication inducement, or post-abdominal surgery. We report a case of orobuccal stereotypic movements and abdominal wall dyskinesia secondary to prochlorperazine intake. The movements began 2 weeks after cessation of prochlorperazine. The patient took this dopamine receptor-blocking medication for 6 months to treat nausea due to chemotherapy. To our knowledge, abdominal wall dyskinesia as a tardive syndrome of prochlorperazine has not been previously reported.

scholarly journals Necrotizing Fasciitis of the Anterior Abdominal Wall: A Rare Complication of Neglected Strangulated Richter’s Epigastric Hernia

2020 ◽  
Vol 5 (12) ◽  
pp. 602-605
Author(s):  
Anwar Sadat Seidu ◽  
Edwin M. T. Yenli ◽  
Martin Kyereh ◽  
David P. Suoseg ◽  
Musah Yakubu ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Soft Tissue Infection ◽  
Anterior Abdominal Wall ◽  
Rare Complication ◽  
Tissue Infection ◽  
Diagnostic Process ◽  
Epigastric Hernia ◽  
High Index Of Suspicion

Necrotizing soft tissue infection (NSTI) is an aggressive and rapidly spreading soft tissue infection that could be associated with high mortality. Early diagnosis can be challenging and so a high index of suspicion is needed. Bedside ultrasonography (USG) and computed tomography (CT) scan could be employed to aid in diagnosis.  The objective of this report is to describe the diagnostic process in a resource challenged setting and review the literature. We present an elderly patient with necrotizing fasciitis of the anterior abdominal wall as a complication of neglected strangulated Richter’s epigastric hernia that resulted in mortality.

scholarly journals Aloplasty of oncisional ventral hernias of using nanomodified polypropilene mesh

2019 ◽  
Keyword(s):  
Abdominal Wall ◽  
Operative Treatment ◽  
Polypropylene Mesh ◽  
Anterior Abdominal Wall ◽  
Long Term Results ◽  
Postoperative Wound ◽  
Group I ◽  
Method Of Placement ◽  
Group Ii ◽  
Ventral Hernias

Aloplasty of incisional ventral hernia (IVH), method of placement and fixation nanomodified polypropylene mesh retro muscular, buth this is accompanied by a fairly high freguency of postoperative complications from the postoperative wound. In our view, the use of a nanomodified polypropylene mesh modified by carbon nanotubes and an antiseptic of polyhexamethlene guanidme chloride in combination with the method of placement and fixation retro muscular the results of operative treatment of IVH. Aim – to improve the results of operative treatment of incisional ventral hernias in combination with the method of placement and fixation retro muscular nanomodified polypropylene mesh. Materials and methods. The analysis of operative treatment of 148 patients with IVH of has been performed. Depending on the type of mesh used during surgical treatment, patients were divided into 2 groups. In 74 (50%) of Group I patients, method of placement and fixation nanomodified polypropylene mesh retro muscular. In the 2nd group, 74 (50%) patients method of placement and fixation retro muscular of a classic polypropylene mesh. Results and discussion. Statistically significant results were obtained in patients of Group I compared to Group II: seroma was in 24 (32.4±1.2%) in Group II compared to 5 (6.8±0.5%) in Group I (p<0.05), respectively, the suppuration of the postoperative wound – 7 (9.5±0.5%) to 1 (1.4±0.2%) (p<0.05). The terms of stay of patients of group II on inpatient treatment – 12,1±2,3 days group II – 7,1±1,1 days. Long-term results: ligature fistulas of the anterior abdominal wall were detected in 5 (7.7±0.5%) patients of group II, in patients of group I of the ligature fistulas were not detected (p<0.05), meshoma – in 3 (4.6±0.3%) of patients in group II, in group I there was no stir (p>0.05). Chronic pain in the abdominal wall in 6 – 8 months after surgery was observed in 5 (7.7±0.6)% patients in group II and in 1 (1.5±0.2%) group I (p>0.05), recurrences of hernia were found in 6 (9.2±0.6%) patients of group II, in group I – in 1 (1.5±0.2)% (p<0.05). Conclusion. Operative treatment of IVH method of placement and fixation nanomodified polypropylene mesh retro muscular is more effective compared with the use of the classical polypropylene mesh, namely, reducing the freguency of seroma from 32.4±1.2% in the II group of patients to 6.8±0.5% in group I, respectively, suppurations of postoperative wounds – from 9.5±0.5% to 1.4±0.2%, inflammatory infiltrates – from 12.2±0.6% to 1.4±0.2%, ligaturial fistulas of the anterior abdominal wall – from 7.7±0.5% to 0%, meshoma – from 4.6±0.3% to 0%, chronic postoperative pain – from 7.7±0.6% to 1.5±0.2%, recurrence of hernia–from 9.2±0.6% to 1.5±0.2%.

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