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坏死性筋膜炎后的乳房挽救

Breast rescue after necrotizing fasciitis.

作者信息

Rouiss Hadhami, Bettaieb Hajer, Souayeh Nesrine, El Aifi Hichem, Jouini Raja, Helal Imen, Oueslati Hedhili, Mbarki Chaouki

机构信息

Department of Obstetrics and Gynecology, Ben Arous Hospital, Tunis, Tunisia.

University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.

出版信息

Heliyon. 2022 Dec 10;8(12):e12305. doi: 10.1016/j.heliyon.2022.e12305. eCollection 2022 Dec.

Abstract

Necrotizing fasciitis is a dangerous and rapidly spreading infection of soft tissue involving skin, subcutaneous tissue and fascia; muscles can be concerned but often omitted. It's considered as emergency due to its fulminant nature. The necrotizing fasciitis of the breast is exceptional. Management is based on surgical debridement and, in the case of breast, mastectomy in most cases is inevitable. We describe a case-report of breast necrotizing fasciitis with prompt management and with satisfactory cosmetic result owing to dermal autograft.

摘要

坏死性筋膜炎是一种危险且迅速蔓延的软组织感染,累及皮肤、皮下组织和筋膜;肌肉可能受累,但常被忽略。因其暴发性本质,被视为急症。乳腺坏死性筋膜炎较为罕见。治疗基于手术清创,对于乳腺病例,多数情况下乳房切除术不可避免。我们报告一例乳腺坏死性筋膜炎的病例,经及时治疗,因采用自体皮肤移植,获得了满意的美容效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41ac/9798178/7476cd50c013/gr1.jpg

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