Lam T P, Maffulli N, Chen E H, Cheng J C
Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
Bull Hosp Jt Dis. 1996;55(2):83-5.
We report a patient presenting with a left psoas abscess causing necrotizing fasciitis of the upper thigh. The patient underwent exploration of the left thigh through a medial approach, confirming necrotizing fasciitis of the adductor compartment and the femoral triangle. The infective process also involved the left psoas. This was explored retroperitoneally through a left pararectal laparotomy incision. Further exploration revealed a carcinomatous ulcer of the sigmoid colon. Despite active resuscitation, antibiotic therapy, and further debridement, the patient died three days after admission.
我们报告了一名患者，其因左腰大肌脓肿导致大腿上部坏死性筋膜炎。患者通过内侧入路对左大腿进行了探查，证实内收肌间隙和股三角存在坏死性筋膜炎。感染过程还累及左腰大肌。通过左直肠旁剖腹手术切口经腹膜后对其进行了探查。进一步探查发现乙状结肠有癌性溃疡。尽管进行了积极的复苏、抗生素治疗和进一步清创，但患者在入院三天后死亡。
