Case Report: Clostridial Gas Gangrene of Pelvic Wall After Laparoscopic Rectal Cancer Surgery Induced Fatal Sepsis

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 radi...

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Main Authors: Xing Wang, Simin Jiao, Zhen Sun, Zhicheng Wang, Xudong Wang, Tianzhou Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.822605/full
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author Xing Wang
Simin Jiao
Zhen Sun
Zhicheng Wang
Xudong Wang
Tianzhou Liu
author_facet Xing Wang
Simin Jiao
Zhen Sun
Zhicheng Wang
Xudong Wang
Tianzhou Liu
author_sort Xing Wang
collection DOAJ
description 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.
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spelling doaj.art-dc8de2be90d8483a827760404ee876952022-12-22T01:00:35ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-03-01910.3389/fsurg.2022.822605822605Case Report: Clostridial Gas Gangrene of Pelvic Wall After Laparoscopic Rectal Cancer Surgery Induced Fatal SepsisXing WangSimin JiaoZhen SunZhicheng WangXudong WangTianzhou LiuClostridial 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.https://www.frontiersin.org/articles/10.3389/fsurg.2022.822605/fullfatal sepsispostoperative infectionlaparoscopic rectal cancer surgeryclostridial gas gangrenesubcutaneous emphysema
spellingShingle Xing Wang
Simin Jiao
Zhen Sun
Zhicheng Wang
Xudong Wang
Tianzhou Liu
Case Report: Clostridial Gas Gangrene of Pelvic Wall After Laparoscopic Rectal Cancer Surgery Induced Fatal Sepsis
Frontiers in Surgery
fatal sepsis
postoperative infection
laparoscopic rectal cancer surgery
clostridial gas gangrene
subcutaneous emphysema
title Case Report: Clostridial Gas Gangrene of Pelvic Wall After Laparoscopic Rectal Cancer Surgery Induced Fatal Sepsis
title_full Case Report: Clostridial Gas Gangrene of Pelvic Wall After Laparoscopic Rectal Cancer Surgery Induced Fatal Sepsis
title_fullStr Case Report: Clostridial Gas Gangrene of Pelvic Wall After Laparoscopic Rectal Cancer Surgery Induced Fatal Sepsis
title_full_unstemmed Case Report: Clostridial Gas Gangrene of Pelvic Wall After Laparoscopic Rectal Cancer Surgery Induced Fatal Sepsis
title_short Case Report: Clostridial Gas Gangrene of Pelvic Wall After Laparoscopic Rectal Cancer Surgery Induced Fatal Sepsis
title_sort case report clostridial gas gangrene of pelvic wall after laparoscopic rectal cancer surgery induced fatal sepsis
topic fatal sepsis
postoperative infection
laparoscopic rectal cancer surgery
clostridial gas gangrene
subcutaneous emphysema
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.822605/full
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