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Necrotising fasciitis of the lower limb due to perforated inguinal hernia

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APA

Georgiev Hristov, Tihomir & Álvarez Gallego, M. & Juliá, J. B. & Redondo, M. G. & Verón, A. & Castell Gómez, J. T. (2010-06 ) .Necrotising fasciitis of the lower limb due to perforated inguinal hernia.

ISO 690

Georgiev Hristov, Tihomir & Álvarez Gallego, M. & Juliá, J. B. & Redondo, M. G. & Verón, A. & Castell Gómez, J. T.. 2010-06 .Necrotising fasciitis of the lower limb due to perforated inguinal hernia.

https://hdl.handle.net/20.500.12080/39637
dc.contributor.author Georgiev Hristov, Tihomir
dc.contributor.author Álvarez Gallego, M.
dc.contributor.author Juliá, J. B.
dc.contributor.author Redondo, M. G.
dc.contributor.author Verón, A.
dc.contributor.author Castell Gómez, J. T.
dc.date.accessioned 2024-02-09T10:35:13Z
dc.date.available 2024-02-09T10:35:13Z
dc.date.created 2010-06
dc.date.issued 2010-06
dc.identifier.uri https://hdl.handle.net/20.500.12080/39637
dc.description.abstract Acute inguinal hernia complications (incarceration, strangulation) are relatively frequent conditions, especially in the elderly. Urgent surgery is the appropriate treatment if manual reduction is not achieved or strangulation or perforation is suspected. We present a 77-year-old patient with necrotising fasciitis of the lower limb as a consequence of extraperitoneal perforation of a sliding inguinal hernia. This devastating condition was diagnosed 20 h after the manual reduction of the hernia. Suspicion arose at the physical examination (crepitation, signs of cellulitis) and clinical deterioration of the patient, and was confirmed by computed tomography (CT) scanning. Urgent surgery was performed, including sigmoidectomy, debridement of the necrotic tissues of the medial and anterior thigh compartment, and fasciectomy, combined with optimal intensive care support. No signs of peritoneal or pelvic involvement were found. However, the comorbidities, advanced age and the progression of the disease led to fatal outcome. Early recognition of the complications of strangulated hernias is of vital importance for successful treatment in these cases, even if no signs of acute abdomen are present. es_ES
dc.format application/pdf es_ES
dc.language eng es_ES
dc.rights CC-BY es_ES
dc.rights.uri http://creativecommons.org/licenses/by/4.0/deed.es es_ES
dc.title Necrotising fasciitis of the lower limb due to perforated inguinal hernia es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.rights.accessrights info:eu-repo/semantics/restrictedAccess es_ES
dc.identifier.location N/A es_ES


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