INCIDENTALLY DISCOVERED PULMONARY NEOPLASIA IN A PATIENT WITH POSTTRAUMATIC AVULSION OF CALCANEAL REGION - A BLESSING IN DISGUISE
In the last century, foot and ankle related traumatic pathology became more and more frequent. A 75 years old male with associated peripheral arterial disease presented himself in ER with an infected, contusive wound at the left foot sole and calcaneum. After local treatment (debridement, hyaluronic...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Editura Universitara Carol Davila
2019-07-01
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| Series: | Journal of Surgical Sciences |
| Subjects: | |
| Online Access: | http://journalofsurgicalsciences.com/index.php/jss/article/view/265 |
| _version_ | 1819262249969123328 |
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| author | Dan Dumitrescu Costel Savlovschi Meda Comandasu Dragos Serban Bogdan Socea Victor Dumitrescu |
| author_facet | Dan Dumitrescu Costel Savlovschi Meda Comandasu Dragos Serban Bogdan Socea Victor Dumitrescu |
| author_sort | Dan Dumitrescu |
| collection | DOAJ |
| description | In the last century, foot and ankle related traumatic pathology became more and more frequent. A 75 years old male with associated peripheral arterial disease presented himself in ER with an infected, contusive wound at the left foot sole and calcaneum. After local treatment (debridement, hyaluronic acid derivatives and antibiotics), the wound evolution was good. During the extensive clinical and paraclinical investigations preceding cardiovascular surgery for the pre-existing peripheral arteriopathy), a pulmonary tumor in resectable stage was discovered. So, the patient underwent pulmonary bilobectomy and afterward a cutaneous free groin flap reconstruction of the foot. The local wound evolution was good, and the patient could stand and walk after a month. He is currently under oncological supervision. Although skin grafts are recommended in lesions affecting weightbearing zones, in this case, given the arteriopathy, it was preferred a free skin flap. In this case with complicated, intricated pathology, the traumatic episode played also a beneficial role by helping the early diagnosis of an operable lung cancer. |
| first_indexed | 2024-12-23T19:54:42Z |
| format | Article |
| id | doaj.art-e41e7e1845f9427f8e0d52641439e8c2 |
| institution | Directory Open Access Journal |
| issn | 2360-3038 2457-5364 |
| language | English |
| last_indexed | 2024-12-23T19:54:42Z |
| publishDate | 2019-07-01 |
| publisher | Editura Universitara Carol Davila |
| record_format | Article |
| series | Journal of Surgical Sciences |
| spelling | doaj.art-e41e7e1845f9427f8e0d52641439e8c22022-12-21T17:33:16ZengEditura Universitara Carol DavilaJournal of Surgical Sciences2360-30382457-53642019-07-016210.33695/jss.v6i2.265265INCIDENTALLY DISCOVERED PULMONARY NEOPLASIA IN A PATIENT WITH POSTTRAUMATIC AVULSION OF CALCANEAL REGION - A BLESSING IN DISGUISEDan Dumitrescu0Costel Savlovschi1Meda Comandasu2Dragos Serban3Bogdan Socea4Victor Dumitrescu5Surgical Clinic IV of the Emergency University Hospital Bucharest, “Carol Davila” University of Medicine and Pharmacy, BucharestSurgical Clinic IV of the Emergency University Hospital Bucharest, “Carol Davila” University of Medicine and Pharmacy, BucharestSurgical Clinic IV of the Emergency University Hospital Bucharest, “Carol Davila” University of Medicine and Pharmacy, BucharestSurgical Clinic IV of the Emergency University Hospital Bucharest, “Carol Davila” University of Medicine and Pharmacy, BucharestSurgical Clinic of the Emergency Clinical Hospital “SfantulPantelimon”, “Carol Davila” University of Medicine and Pharmacy, BucharestSurgical Clinic IV of the Emergency University Hospital Bucharest, “Carol Davila” University of Medicine and Pharmacy, BucharestIn the last century, foot and ankle related traumatic pathology became more and more frequent. A 75 years old male with associated peripheral arterial disease presented himself in ER with an infected, contusive wound at the left foot sole and calcaneum. After local treatment (debridement, hyaluronic acid derivatives and antibiotics), the wound evolution was good. During the extensive clinical and paraclinical investigations preceding cardiovascular surgery for the pre-existing peripheral arteriopathy), a pulmonary tumor in resectable stage was discovered. So, the patient underwent pulmonary bilobectomy and afterward a cutaneous free groin flap reconstruction of the foot. The local wound evolution was good, and the patient could stand and walk after a month. He is currently under oncological supervision. Although skin grafts are recommended in lesions affecting weightbearing zones, in this case, given the arteriopathy, it was preferred a free skin flap. In this case with complicated, intricated pathology, the traumatic episode played also a beneficial role by helping the early diagnosis of an operable lung cancer.http://journalofsurgicalsciences.com/index.php/jss/article/view/265posttraumatic avulsion, calcaneum, lung cancer, free skin flap |
| spellingShingle | Dan Dumitrescu Costel Savlovschi Meda Comandasu Dragos Serban Bogdan Socea Victor Dumitrescu INCIDENTALLY DISCOVERED PULMONARY NEOPLASIA IN A PATIENT WITH POSTTRAUMATIC AVULSION OF CALCANEAL REGION - A BLESSING IN DISGUISE Journal of Surgical Sciences posttraumatic avulsion, calcaneum, lung cancer, free skin flap |
| title | INCIDENTALLY DISCOVERED PULMONARY NEOPLASIA IN A PATIENT WITH POSTTRAUMATIC AVULSION OF CALCANEAL REGION - A BLESSING IN DISGUISE |
| title_full | INCIDENTALLY DISCOVERED PULMONARY NEOPLASIA IN A PATIENT WITH POSTTRAUMATIC AVULSION OF CALCANEAL REGION - A BLESSING IN DISGUISE |
| title_fullStr | INCIDENTALLY DISCOVERED PULMONARY NEOPLASIA IN A PATIENT WITH POSTTRAUMATIC AVULSION OF CALCANEAL REGION - A BLESSING IN DISGUISE |
| title_full_unstemmed | INCIDENTALLY DISCOVERED PULMONARY NEOPLASIA IN A PATIENT WITH POSTTRAUMATIC AVULSION OF CALCANEAL REGION - A BLESSING IN DISGUISE |
| title_short | INCIDENTALLY DISCOVERED PULMONARY NEOPLASIA IN A PATIENT WITH POSTTRAUMATIC AVULSION OF CALCANEAL REGION - A BLESSING IN DISGUISE |
| title_sort | incidentally discovered pulmonary neoplasia in a patient with posttraumatic avulsion of calcaneal region a blessing in disguise |
| topic | posttraumatic avulsion, calcaneum, lung cancer, free skin flap |
| url | http://journalofsurgicalsciences.com/index.php/jss/article/view/265 |
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