scholarly journals Anaesthetic Management of a Patient with Necrotizing Fasciitis: A Case Report

2021 ◽  
Vol 6 (3) ◽  
pp. 31-34
Author(s):  
Shallu Chaudhary ◽  
Major Amit Atwal
Keyword(s):  
Mechanical Ventilation ◽  
Severe Sepsis ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Tissue Injury ◽  
Subcutaneous Tissue ◽  
Soft Tissue Injury ◽  
Anaesthetic Management ◽  
Left Shoulder

Necrotizing fasciitis is a highly lethal bacterial infection of subcutaneous tissue and fascia. 77 year old male patient, smoker with necrotizing fasciitis underwent surgery:- left shoulder disarticulation in emergency OT under general anesthesia. Intraoperatively, the patient went into severe sepsis and developed arrythmias and hypotension which was managed with anti-arrythmic drugs and infusion norepinephrine. The patient responded to the treatment and the surgery was completed. Postoperatively mechanical ventilation was continued and subsequently the patient improved and was extubated 3 days later. Keywords: Necrotizing fasciitis, necrotizing acute soft tissue injury, NASTI.

scholarly journals Osteochondral fracture of the patella without soft tissue injury and with no dislocation: A case report

2021 ◽  
Vol 78 ◽  
pp. 48-53
Author(s):  
Majed N. Alosaimi ◽  
Mohammed M. Almutairi ◽  
Saad M. Alshahrani ◽  
Mansour N. Alqahtani ◽  
Abdullah S. Alghamdi
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Osteochondral Fracture

scholarly journals Necrotizing Fasciitis by Two Anaerobic Bacteria in an Immunocompetent Patient after Minor Trauma: A Case Report

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Marco Sciarra ◽  
Andrea Schimmenti ◽  
Tommaso Manciulli ◽  
Cristina Sarda ◽  
Marco Mussa ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Rare Case ◽  
Subcutaneous Tissue ◽  
Anaerobic Bacteria ◽  
Immunocompetent Patient ◽  
Minor Trauma ◽  
Group A Streptococci ◽  
Group A

Necrotizing fasciitis (NF) is a soft tissue infection affecting subcutaneous tissue and the muscular fascia without involvement of the muscle and can be either monomicrobial or polymicrobial. Monomicrobial infections are usually caused by group A streptococci, while infections caused by anaerobic germs usually affect immunodepressed patients. We report a rare case of NF caused by two anaerobic bacteria in an immunocompetent patient.

scholarly journals Challenges encountered during the management of pediatric facial soft tissue injury from a mobile battery blast: A case report

2021 ◽  
Author(s):  
Rikta Pande ◽  
Bandana Koirala ◽  
Mehul Jaisani ◽  
Chandrakant Pasvan
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Conservative Management ◽  
Tissue Injury ◽  
Case Reports ◽  
Soft Tissue Injury ◽  
Facial Soft Tissue ◽  
Aesthetic Unit ◽  
Parotid Duct

The present case reports facial soft tissue injury involving the lateral aesthetic unit of the cheek on a 10-year-old boy from the disposed mobile battery blast on a roadside campfire. This case highlights one of the challenges encountered from injury to parotid duct and its conservative management.

Morel-lavallée lesion closed legs, site and etiology rare trauma

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Soft Tissue ◽  
Bone Fractures ◽  
Late Onset ◽  
Tissue Injury ◽  
Subcutaneous Tissue ◽  
Soft Tissue Injury ◽  
Current Treatment ◽  
Needle Puncture ◽  
Soft Tissue Swelling ◽  
Muscle Fascia

Background: The Morel-Lavallée Injury (MLI) is a closed soft tissue injury as a result of an abrupt separation of the skin and subcutaneous tissue from the underlying fascia degloving. Clinically this lesion is presented as a long and painful injury to the affected part with soft tissue swelling and fluctuation. Clinical case: Male of 37 years-old, who suffered accident by crushing multiple dermoabrasives injuries drag and edema of both lower extremities without bone fractures, four months after he underwent a needle puncture in the left leg obtaining liquid 1400 ml, practiced 3 times the same procedure with reduced liquid each time. Ultrasound liquid is observed in the affected area septate on the inner side of the leg. Discussion: The MLI is presented to one debonding or avulsion of the skin by the tangential mechanism of injury where a shearing damage to hemolinphatic contribution of the tissues around the muscle fascia occurs,which favors filling with hematic fluid, lymphatic , liquefied fat and debris. All this is surrounded by granulation tissue, a fibrotic organizing pseudocapsule or capsule that prevents reabsorption of liquid; this explains the late onset of MLI. The current treatment of this disease is variable and depends according to the time of diagnosis. Surgical management should be reserved for recalcitrant lesions where aspiration and compression have not been successful.

scholarly journals Morel-Lavallée Lesion Following a Low-speed Injury: A Case Report

2020 ◽  
Vol 4 (4) ◽  
pp. 642-643
Author(s):  
Daniel Porter ◽  
Jeff Conley ◽  
John Ashurst
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Lower Extremity ◽  
Tissue Injury ◽  
Fluid Collection ◽  
Soft Tissue Injury ◽  
Soft Tissue Injuries ◽  
Low Speed ◽  
Degloving Injury ◽  
Tissue Injuries

Introduction: Soft tissue injuries are a common presenting complaint seen in the emergency department following trauma. However, internal degloving injuries are not commonly seen by the emergency provider. Case Report: A 57-year-old male presented with right lower extremity pain, bruising, and swelling after a low-speed bicycle accident five days prior. Physical examination revealed an edematous and ecchymotic right lower extremity extending from the mid-thigh distally. Computed tomography of the thigh demonstrated a hyperdense foci within the fluid collection suggesting internal hemorrhage and internal de-gloving suggestive of a Morel-Lavallée lesion. Discussion: The Morel-Lavallée lesion is a post-traumatic soft tissue injury that occurs as a result of shearing forces that create a potential space for the collection of blood, lymph, and fat. First described in 1853 by French physician Maurice Morel-Lavallée, this internal degloving injury can serve as a nidus of infection if not treated appropriately. Magnetic resonance imaging has become the diagnostic modality of choice due to its high resolution of soft tissue injuries. Treatment has been focused on either conservative management or surgical debridement after consultation with a surgeon. Conclusion: The emergency physician should consider Morel-Lavallée lesions in patients with a traumatic hematoma formation to avoid complications that come from delayed diagnosis.

scholarly journals “Fixator-assisted Nailing” Technique for Closed Segmental Tibia Shaft Fracture with Extensive Soft Tissue Injury – A Case Report

2021 ◽  
Vol 11 (8) ◽  
Author(s):  
Vivek M Sodhai ◽  
Chetan V Pradhan ◽  
Parag K Sancheti ◽  
Ashok K Shyam
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Internal Fixation ◽  
External Fixator ◽  
Road Traffic ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Treatment Strategies ◽  
Soft Tissue Injuries ◽  
Definitive Treatment

Introduction: Segmental tibia fractures with extensive soft tissue injuries are rare and surgical intervention is challenging with no definitive treatment strategies. Case Report: A 52-year-old man presented with closed right segmental tibia and fibula fracture with extensive blistering of skin caused due to road traffic accident. Distal pulses were palpable and there were no signs of compartment syndrome and other systemic injuries. In the presence of extensive blistering, a monoplanar external fixator was applied within 24 h of injury. 3 weeks later, skin condition was conducive for internal fixation, and closed intramedullary multi-locking nailing was performed using the external fixator for reduction. Fracture healed at 15 months and patient had an excellent functional outcome with full knee range of motion at 2-years follow-up without any complications. Conclusion: Fixator-assisted nailing is a simple, minimally invasive, and easily reproducible technique that is useful in reducing the fracture and preventing axial rotation of the intercalary segment minimizing the damage to the periosteal blood supply. Our case also highlights the importance of temporary external fixator in soft tissue healing and making the skin conducive for internal fixation. Keywords: Devascularization, fixator-assisted nailing, intercalary segment, rotational displacement, segmental tibial fracture.

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