Authors: J. Jandík; J. Vokurka Authors‘ workplace: Chirurgické oddělení, Oblastní nemocnice Rychnov nad Kněžnou, a. s., prim. MUDr. J. Kudr Published in: Rozhl. Chir., 2009, roč. 88, č. 1, s. 27-31. Category: Monothematic special - Original
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.
Key words: necrotizing fasciitis – surgical wound infection – complications after cholecystectomy – clostridial infection – necrotizing soft tissue infections
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