Supralevator Abscess Complicated by Necrotic Fasciitis of Peritoneum, Genitalia, Anterior Abdominal Wall and Retroperitoneum.
AJTES Vol. 5, No 2, July 2021.
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Keywords

supralevator abscess
necrotizing fasciitis
Fournier's gangrene

How to Cite

Hadzhieva, E., Chakarov, D., Moshekov, E., Hadzhiev, D., Kalchev, Y., Atliev, K., & Sakakushev, B. (2021). Supralevator Abscess Complicated by Necrotic Fasciitis of Peritoneum, Genitalia, Anterior Abdominal Wall and Retroperitoneum. Albanian Journal of Trauma and Emergency Surgery, 5(2), 896-898. https://doi.org/10.32391/ajtes.v5i2.236

Abstract

A supralevator anorectal abscess may lead to a rare clinical complication, such as perineal necrotizing fasciitis. A 57-year-old man was admitted on an emergency basis with evidence of a deep anorectal abscess of 5-day duration. The clinical presentation involved an unbounded purulent destructive inflammation spreading onto the adjacent areas, with the development of a septic condition. Following a short preparation, a radical surgical debridement of a subfascial purulent necrotic phlegmon of the pelvic space was performed. Since the lower part of the abdomen, retroperitoneum and scrotum were involved, 4 additional subsequent necrectomies were performed at 48-hour intervals. The aggressive radical operative treatment and the combined intensive therapy were the main contributors to the favorable outcome of the disease.

https://doi.org/10.32391/ajtes.v5i2.236
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References

1. Aparício D., Leichsenring C=, Sobrinho C=, Pignatelli N, Geraldes V, Nunes V. Supralevator abscess: New treatment for an uncommon etiology: A case report. Int J Surg Case Rep. 2019; 59: 128-131.
2. Oikonomou C, Alepas P, Gavriil S, Kalliouris D, Manesis K, Bouboulis P, Filippou D, Skandalakis P. A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations. Ann Coloproctol. 2019 May 31;35(4):216-220.
3. Kuzaka B, Wróblewska MM, Borkowski T, Kawecki D, Kuzaka P, Młynarczyk G, Radziszewski P. Fournier's Gangrene: Clinical Presentation of 13 Cases. Med Sci Monit. 2018 Jan 28; 24: 548-555.
4. Czymek R, Hildebrand P, Kleemann M, Roblick U, Hoffmann M, Jungbluth T, Bürk C, Bruch HP, Kujath P. New insights into the epidemiology and etiology of Fournier's gangrene: a review of 33 patients. Infection. 2009 Aug;37(4):306-12.
5. Gadler T, Huey S, Hunt K. Recognizing Fournier's Gangrene in the Emergency Department. Adv Emerg Nurs J. 2019 Jan/Mar;41(1):33-38.
6. Sanyal S, Khan F, Ramachandra P. Successful management of a recurrent supralevator abscess: a case report. Case Rep Surg. 2012; 871639.
7. Garcia-Granero A, Granero-Castro P, Frasson M, Flor-Lorente B, Carreño O, Espí A, Puchades I, Garcia-Granero E. Management of cryptoglandular supralevator abscesses in the magnetic resonance imaging era: a case series. Int J Colorectal Dis. 2014 Dec;29(12):1557-64.
8. Gupta A., Dalela D., Sankhwar S., Goel M., Kumar S., Goel A. Bilateral testicular gangrene: does it occur in Fournier’s gangrene? Int. Urol. Nephrol., 2007, 39, 3, 913-915.
9. Sparenborg JD, Brems JA, Wood AM, Hwang JJ, Venkatesan K. Fournier's gangrene: modern analysis of predictors of outcomes. Transl Androl Urol. 2019 Aug;8(4):374-378.
10. Yılmazlar T., Işık O., Öztürk E., Özer A., Gülcü B. Fournier's gangrene: review of 120 patients and predictors of mortality, Ulus Travma Acil Cerrahi Derg., 2014 Sep;20(5):333-7.
11. Singh A, Ahmed K, Aydin A, Khan MS, Dasgupta P. Fournier's gangrene. A clinical review. Arch Ital Urol Androl. 2016 Oct 5;88(3):157-164.
12. Pehlivanli F, Aydin O, Karaca G, Aydin G, Erden Daphan Ç. An Extremely Rare Complication of Widespread Retroperitoneal Abscess Originating from Anorectal Horseshoe Abscess. Bull Emerg Trauma. 2019 Jan;7(1):72-75.
13. Hagedorn JC, Wessells H. A contemporary update on Fournier's gangrene. Nat Rev Urol. 2017 Apr;14(4):205-214.
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