[A necrotizing fasciitis of an abdominal wall after a cholecystectomy--a case report].
The authors present a case review of a patient with a life threatening infectious complication after a routine operation with an accent on urgent diagnosis and treatment. A sepsis with an extensive necrotizing anaerobic infection of the surgical wound with a destruction of abdominal wound developed in 48 hours after a cholecystectomia. The patient status required repeatedly an extensive necrectomy with a hospitalization on an intensive care unit with a necessity of an arteficial pulmonary ventilation and a circulation support. A resulting large defect of an abdominal wall was fully healed by using a vacuum sealing treatment and a dermoepidermal skin graft.
Jandík
J
J
Chirurgické oddĕlení, Oblastní nemocnice Rychnov nad Knĕznou. who.dares.jj@seznam.cz
Vokůrka
J
J
D034861:Abdominal Wall; D002763:Cholecystectomy / Q000009:adverse effects*; D003015:Clostridium Infections / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D003016:Clostridium perfringens; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000628:therapy