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Necrotizing fasciitis caused by a primary appendicocutaneous fistula
We report a case of necrotizing fasciitis in the loin of a 76-year old man with several coexisting or past health issues, including diabetes mellitus, hypertension, alcohol-related liver cirrhosis, gastrectomy for gastric cancer, subarachnoid hemorrhage, normal pressure hydrocephalus, and cerebral i...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Japan
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3396344/ https://www.ncbi.nlm.nih.gov/pubmed/22318638 http://dx.doi.org/10.1007/s00595-012-0140-x |
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author | Takeda, Makoto Higashi, Yukihiro Shoji, Tuyoshi Hiraide, Takanori Maruo, Hirotoshi |
author_facet | Takeda, Makoto Higashi, Yukihiro Shoji, Tuyoshi Hiraide, Takanori Maruo, Hirotoshi |
author_sort | Takeda, Makoto |
collection | PubMed |
description | We report a case of necrotizing fasciitis in the loin of a 76-year old man with several coexisting or past health issues, including diabetes mellitus, hypertension, alcohol-related liver cirrhosis, gastrectomy for gastric cancer, subarachnoid hemorrhage, normal pressure hydrocephalus, and cerebral infarction. Incision of the necrotizing fasciitis was successful, but it revealed an appendicocutaneous fistula; thus, we performed appendectomy and fistulectomy. We think that the necrotizing fasciitis was caused by appendicitis perforation involving the retroperitoneum, inducing the formation of an appendicocutaneous fistula. Necrotizing fasciitis and appendicocutaneous fistulae are rare complications of appendicitis. Moreover, to our knowledge, this is the first report of fluoroscopic examination demonstrating that a primary appendicocutaneous fistula had caused necrotizing fasciitis. Our search of the literature found 12 cases of necrotizing fasciitis caused by preoperative appendicitis. We discuss the characteristics and findings of these cases. |
format | Online Article Text |
id | pubmed-3396344 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Springer Japan |
record_format | MEDLINE/PubMed |
spelling | pubmed-33963442012-07-17 Necrotizing fasciitis caused by a primary appendicocutaneous fistula Takeda, Makoto Higashi, Yukihiro Shoji, Tuyoshi Hiraide, Takanori Maruo, Hirotoshi Surg Today Case Report We report a case of necrotizing fasciitis in the loin of a 76-year old man with several coexisting or past health issues, including diabetes mellitus, hypertension, alcohol-related liver cirrhosis, gastrectomy for gastric cancer, subarachnoid hemorrhage, normal pressure hydrocephalus, and cerebral infarction. Incision of the necrotizing fasciitis was successful, but it revealed an appendicocutaneous fistula; thus, we performed appendectomy and fistulectomy. We think that the necrotizing fasciitis was caused by appendicitis perforation involving the retroperitoneum, inducing the formation of an appendicocutaneous fistula. Necrotizing fasciitis and appendicocutaneous fistulae are rare complications of appendicitis. Moreover, to our knowledge, this is the first report of fluoroscopic examination demonstrating that a primary appendicocutaneous fistula had caused necrotizing fasciitis. Our search of the literature found 12 cases of necrotizing fasciitis caused by preoperative appendicitis. We discuss the characteristics and findings of these cases. Springer Japan 2012-02-10 2012 /pmc/articles/PMC3396344/ /pubmed/22318638 http://dx.doi.org/10.1007/s00595-012-0140-x Text en © The Author(s) 2012 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
spellingShingle | Case Report Takeda, Makoto Higashi, Yukihiro Shoji, Tuyoshi Hiraide, Takanori Maruo, Hirotoshi Necrotizing fasciitis caused by a primary appendicocutaneous fistula |
title | Necrotizing fasciitis caused by a primary appendicocutaneous fistula |
title_full | Necrotizing fasciitis caused by a primary appendicocutaneous fistula |
title_fullStr | Necrotizing fasciitis caused by a primary appendicocutaneous fistula |
title_full_unstemmed | Necrotizing fasciitis caused by a primary appendicocutaneous fistula |
title_short | Necrotizing fasciitis caused by a primary appendicocutaneous fistula |
title_sort | necrotizing fasciitis caused by a primary appendicocutaneous fistula |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3396344/ https://www.ncbi.nlm.nih.gov/pubmed/22318638 http://dx.doi.org/10.1007/s00595-012-0140-x |
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