[Perineal gangrene. Apropos of 12 cases].
Twelve cases of necrotizing infections of the perineum were seen over a 18 months period. The etiology was various. This serious affection seems to be more frequent now. The diagnosis is often late, particularly in the rectal injuries with a foreign body. Cellulitis was constant. Severe myonecrosis was present in 6 cases. Anaerobic organisms were found in 50% of the cases. Treatment consisted of initial radical debridement and repeated surgery, antibiotics, and hyperbaric oxygen which was systematically used in our cases. The importance of a diverting colostomy that was done in 10 cases was emphasized. The aggressiveness and advancing nature of the infection with myonecrosis, delayed diagnosis and delayed treatment, were the primary factors responsible for death. 4 of the 12 patients died.
D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D005734:Gangrene / Q000175:diagnosis / Q000401:mortality / Q000628:therapy; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000473:pathology*; D011379:Prognosis
D000900:Anti-Bacterial Agents
Gangrène périnéale. A propos de 12 observations.