Fagih Samiha N, Baghdadi Rana M, Banjer Aeshah Y, Ismail Amal A, Addas Majda A, Shabkah Alaa A, Trabulsi Nora H
Department of Surgery, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Department of Surgery, International Medical Center, Jeddah, SAU.
Cureus. 2021 Dec 23;13(12):e20638. doi: 10.7759/cureus.20638. eCollection 2021 Dec.
Scrotal necrosis is a rare occurrence that is scarcely reported among patients having undergone heated intra-peritoneal chemotherapy (HIPEC) procedures. Due to anatomic factors and the thermally enhanced cytotoxicity of chemotherapeutic agents, this complication can have debilitating post-operative effects. We herein highlight the presentation of scrotal necrosis in a patient who underwent HIPEC procedure for peritoneal metastasis secondary to colorectal carcinoma, and how it contrasts to previously documented cases of a similar nature. Furthermore, we describe a successful management strategy that consisted of conservative measures followed by surgical debridement and primary repair, and enabled the patient to experience significant functional and cosmetic improvement.
阴囊坏死是一种罕见的情况，在接受热腹腔内化疗（HIPEC）手术的患者中鲜有报道。由于解剖因素以及化疗药物热增强的细胞毒性，这种并发症可能会产生严重的术后影响。在此，我们重点介绍一名因结直肠癌继发腹膜转移而接受HIPEC手术的患者出现阴囊坏死的情况，以及它与先前记录的类似性质病例的对比。此外，我们描述了一种成功的治疗策略，该策略包括保守措施，随后进行手术清创和一期修复，使患者在功能和外观上都有显著改善。
