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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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2022-03-01
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Series: | Frontiers in Surgery |
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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. |
first_indexed | 2024-12-11T15:15:44Z |
format | Article |
id | doaj.art-dc8de2be90d8483a827760404ee87695 |
institution | Directory Open Access Journal |
issn | 2296-875X |
language | English |
last_indexed | 2024-12-11T15:15:44Z |
publishDate | 2022-03-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Surgery |
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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