Resumo
Our objective is to report a case of a patient with necrosis limited to the pre-peritoneal fascia and fat tissue of the abdomen and pelvis. A 34-year-old female presented with fever, chills, nausea, diarrhea and abdominal pain. She denies history of trauma, diabetes mellitus, use of immunosuppressive drugs, smoking, and drug dependence. Laboratory tests revealed hematocrit of 28.7%, white blood count of 12.200/mm3 with 49% of bands, platelets of 317.000/mm3, and sedimentation rate of 65 mm/hr. She was subjected to an abdominal ultrasonography and computed tomography that showed hepatosplenomegaly and muscular thickening on the left flank. Surgical debridment was performed. There was necrosis limited to the pre-peritoneal fascia and fat tissue extending from the pelvis to the left flank. The fascia of the superficial muscles and the subcutaneous fat were normal. The pathologic examination showed suppuration and necrosis of the tissues. Antibiotics were administered and ten debridments were performed. The patient was discharged 30 days after the admission.
Necrotizing fasciitis; Gas gangrene
Necrotizing fasciitis; Gas gangrene
RELATOS DE CASOS
Fasciíte necrotizante limitada a região pré-peritoneal
Necrotizing fasciitis limited to the preperitoneal region
Júlio Cezar Uili Coelho, TCBC-PRI; Rodrigo M. de M. ViannaII; Clóvis Arns da CunhaIII; Cesar DuarteIII; Dimas MilcheskiIV
IProfessor Titular e Chefe da Disciplina de Cirurgia do Aparelho Digestivo da UFPR e Chefe do Serviço de Cirurgia Geral do Hospital N.S. Graças
IIResidente de Cirurgia Geral do Hospital N.S. Graças
IIIMédico do Serviço de Clínica Médica do Hospital N.S.Graças
IVAcadêmico do Hospital N.S.Graças
Endereço para correspondência Endereço para correspondência: Dr. Júlio Coelho Rua Bento Viana, 1140/1501 80240-110 - Curitiba - PR
ABSTRACT
Our objective is to report a case of a patient with necrosis limited to the pre-peritoneal fascia and fat tissue of the abdomen and pelvis. A 34-year-old female presented with fever, chills, nausea, diarrhea and abdominal pain. She denies history of trauma, diabetes mellitus, use of immunosuppressive drugs, smoking, and drug dependence. Laboratory tests revealed hematocrit of 28.7%, white blood count of 12.200/mm3 with 49% of bands, platelets of 317.000/mm3, and sedimentation rate of 65 mm/hr. She was subjected to an abdominal ultrasonography and computed tomography that showed hepatosplenomegaly and muscular thickening on the left flank. Surgical debridment was performed. There was necrosis limited to the pre-peritoneal fascia and fat tissue extending from the pelvis to the left flank. The fascia of the superficial muscles and the subcutaneous fat were normal. The pathologic examination showed suppuration and necrosis of the tissues. Antibiotics were administered and ten debridments were performed. The patient was discharged 30 days after the admission.
Key words: Necrotizing fasciitis; Gas gangrene.
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Recebido em 6/11/97
Aceito para publicação em 27/7/98
Trabalho realizado no Departamento de Cirurgia e Clínica Médica do Hospital Nossa Senhora das Graças - Curitiba - PR.
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- 2. Zilberstein B, Ramos AC, Sallet JA. Fasciite necrotizante. In: Ferraz EM (Ed). Infecçăo em Cirurgia. 1a Ediçăo. Rio de Janeiro: Medsi, 1997, pp 525-531.
- 3. EIliott DC, Kufera JA, Myers RA. Necrotizing soft tissue infections. Risk factors for mortality and strategies for management. Ann Surg 1996; 224:672-683.
- 4. Rouse TM, Malangoni MA, Scholte WI. Necrotizing fasciitis: a preventable disaster. Surgery 1992; 92:765-771.
- 5. Rietveld JA, Pilmore HL, Jones PG, et al. Necrotizing fasciitis: a single centre's experience. N Z Med J 1995; 108:72-74.
Endereço para correspondência:
Datas de Publicação
-
Publicação nesta coleção
17 Maio 2010 -
Data do Fascículo
Out 1998
Histórico
-
Aceito
27 Jul 1998 -
Recebido
06 Nov 1997
