Wang Xing, Jiao Simin, Sun Zhen, Wang Zhicheng, Wang Xudong, Liu Tianzhou
Department of Gastrointestinal Surgery, The Second Hospital of Jilin University, Changchun, China.
Front Surg. 2022 Mar 18;9:822605. doi: 10.3389/fsurg.2022.822605. eCollection 2022.
Clostridial gas gangrene is an unusual but fast-spreading necrotic infection of soft tissue relevant to high mortality rates. We report a case of postoperative gas gangrene of the pelvic wall, scrotum, and perineal site, with very acute onset and rapid progression of symptoms after laparoscopic radical resection for rectal cancer. Although potentially treatable with appropriate antibiotic cover and urgent thorough surgical debridement, this case still developed irreversibly into fulminant and fatal sepsis. The possible etiologic factors, better measures of diagnosis, and treatment are discussed, and the relevant literature is reviewed.
梭菌性气性坏疽是一种罕见但快速蔓延的软组织坏死感染，与高死亡率相关。我们报告一例盆腔壁、阴囊及会阴部位的术后气性坏疽病例，该病例在腹腔镜直肠癌根治切除术后起病极急，症状进展迅速。尽管通过适当的抗生素覆盖及紧急彻底的手术清创有可能治愈，但该病例仍不可逆转地发展为暴发性致命性脓毒症。本文讨论了可能的病因、更好的诊断方法及治疗措施，并对相关文献进行了综述。
