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择期腹股沟疝修补术后致死性坏死性筋膜炎。

Fatal necrotizing fasciitis following elective inguinal hernia repair.

机构信息

Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.

出版信息

Hernia. 2011 Feb;15(1):75-7. doi: 10.1007/s10029-009-0601-3. Epub 2009 Dec 10.

Abstract

Necrotizing soft tissue infections (NSTIs) following elective hernia repair are extremely uncommon, though they can occur following emergency surgery for complicated hernias. They are also usually seen in individuals with impaired immunity. We report a case of fatal necrotizing fasciitis following elective hernia repair in an otherwise healthy young patient. A high index of suspicion is required to diagnose this condition early, as it is difficult to differentiate it from superficial surgical site infection.

摘要

在择期疝修补术后发生坏死性软组织感染 (NSTI) 极为罕见,但在复杂疝的急诊手术后也可能发生。它们通常也发生在免疫受损的个体中。我们报告了一例在健康年轻患者中择期疝修补术后发生致命性坏死性筋膜炎的病例。早期诊断这种疾病需要高度怀疑,因为它很难与浅表手术部位感染区分开来。

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