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Necrotizing fasciitis of the lower extremity caused by perforated sigmoid diverticulitis—a case report

Diverticulosis of the sigmoid colon is a common condition and occurs more often in elderly patients. A well-known complication is infection or even perforation which often requires surgery. Necrotizing fasciitis as a complication of perforated diverticulitis is very rare. Here, we present a case of...

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Autores principales: Kröpfl, Veronika, Treml, Benedikt, Scheidl, Stefan, Lanthaler, Monika, Nogler, Michael, Lorenz, Ingo, Friesenecker, Barbara, Fries, Dietmar, Pierer, Gerhard, Öfner-Velano, Dietmar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080065/
https://www.ncbi.nlm.nih.gov/pubmed/30093996
http://dx.doi.org/10.1093/jscr/rjy198
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author Kröpfl, Veronika
Treml, Benedikt
Scheidl, Stefan
Lanthaler, Monika
Nogler, Michael
Lorenz, Ingo
Friesenecker, Barbara
Fries, Dietmar
Pierer, Gerhard
Öfner-Velano, Dietmar
author_facet Kröpfl, Veronika
Treml, Benedikt
Scheidl, Stefan
Lanthaler, Monika
Nogler, Michael
Lorenz, Ingo
Friesenecker, Barbara
Fries, Dietmar
Pierer, Gerhard
Öfner-Velano, Dietmar
author_sort Kröpfl, Veronika
collection PubMed
description Diverticulosis of the sigmoid colon is a common condition and occurs more often in elderly patients. A well-known complication is infection or even perforation which often requires surgery. Necrotizing fasciitis as a complication of perforated diverticulitis is very rare. Here, we present a case of a covered perforated diverticulitis in an immunosuppressed patient leading to life-threatening necrotizing fasciitis requiring extracorporeal membrane oxygenation. Either hematogenous or local dissemination via the inguinal canal seemed the most probable mechanism of leg infection leading to hip articulation.
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spelling pubmed-60800652018-08-09 Necrotizing fasciitis of the lower extremity caused by perforated sigmoid diverticulitis—a case report Kröpfl, Veronika Treml, Benedikt Scheidl, Stefan Lanthaler, Monika Nogler, Michael Lorenz, Ingo Friesenecker, Barbara Fries, Dietmar Pierer, Gerhard Öfner-Velano, Dietmar J Surg Case Rep Case Report Diverticulosis of the sigmoid colon is a common condition and occurs more often in elderly patients. A well-known complication is infection or even perforation which often requires surgery. Necrotizing fasciitis as a complication of perforated diverticulitis is very rare. Here, we present a case of a covered perforated diverticulitis in an immunosuppressed patient leading to life-threatening necrotizing fasciitis requiring extracorporeal membrane oxygenation. Either hematogenous or local dissemination via the inguinal canal seemed the most probable mechanism of leg infection leading to hip articulation. Oxford University Press 2018-08-06 /pmc/articles/PMC6080065/ /pubmed/30093996 http://dx.doi.org/10.1093/jscr/rjy198 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2018. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Kröpfl, Veronika
Treml, Benedikt
Scheidl, Stefan
Lanthaler, Monika
Nogler, Michael
Lorenz, Ingo
Friesenecker, Barbara
Fries, Dietmar
Pierer, Gerhard
Öfner-Velano, Dietmar
Necrotizing fasciitis of the lower extremity caused by perforated sigmoid diverticulitis—a case report
title Necrotizing fasciitis of the lower extremity caused by perforated sigmoid diverticulitis—a case report
title_full Necrotizing fasciitis of the lower extremity caused by perforated sigmoid diverticulitis—a case report
title_fullStr Necrotizing fasciitis of the lower extremity caused by perforated sigmoid diverticulitis—a case report
title_full_unstemmed Necrotizing fasciitis of the lower extremity caused by perforated sigmoid diverticulitis—a case report
title_short Necrotizing fasciitis of the lower extremity caused by perforated sigmoid diverticulitis—a case report
title_sort necrotizing fasciitis of the lower extremity caused by perforated sigmoid diverticulitis—a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080065/
https://www.ncbi.nlm.nih.gov/pubmed/30093996
http://dx.doi.org/10.1093/jscr/rjy198
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