[Perineal gangrene secondary to abscesses of the anal margin. Apropos of 9 cases].
Of 9 patients with perineal gangrene secondary to abscess of anal margin, 7 presented deficiency states. Diagnosis was established after an average of 7.4 days following onset of signs, although the clinical picture was obvious and the lesions extended beyond the perineum towards the genital organs, buttocks or thigh. Essential therapy consisted of antibiotic cover, immediate and repeated surgical excision (average number of operations per patient = 6) and stools bypass by colostomy for severe perineal lesions. This resolutely aggressive treatment reduced mortality of this reputedly serious affection to 2 cases (22%), but morbidity was high and a perineoplasty was necessary in a third of the patients.
Slim
K
K
Service de Chirurgie B, Hôpital Charles Nicolle, Tunis, Tunisie.
Ben Slimene
T
T
Largueche
S
S
Bardi
K
K
Guiga
M
M
Mzabi
R
R
D000038:Abscess / Q000150:complications* / Q000628:therapy; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001004:Anus Diseases / Q000150:complications* / Q000628:therapy; D001424:Bacterial Infections; D003125:Colostomy; D005260:Female; D005734:Gangrene / Q000209:etiology* / Q000628:therapy; D006090:Gram-Negative Bacteria; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents
Les gangrènes périnéales secondaires aux abcès de la marge anale. A propos de 9 cas.