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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2018
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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. |
format | Online Article Text |
id | pubmed-6080065 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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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