Perforated diverticulitis causing necrotizing fasciitis of the lower limb
A 59-year-old woman with a history of colon diverticulosis, who presented with pain in the groin region and in the left lower limb of two months of evolution. In the first instance, the patient presented with symptoms of sepsis and an erythema was observed in the left lower limb, associated with cel...
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| Eará dahkkit: | , , , |
| Materiálatiipa: | article |
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2022
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| Fáttát: | |
| Liŋkkat: | https://revista.scu.org.uy/index.php/cir_urug/article/view/4918 |
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| _version_ | 1868890208744767488 |
|---|---|
| author | Aguiriano Casanova, María del Mar |
| author2 | Ponce Villar, Úrsula Peiró Monzó, Fabián Montesinos, Carmen Seguí, Jesús |
| author2_role | author author author author |
| author_browse | Aguiriano Casanova, María del Mar Montesinos, Carmen Peiró Monzó, Fabián Ponce Villar, Úrsula Seguí, Jesús |
| author_facet | Aguiriano Casanova, María del Mar Ponce Villar, Úrsula Peiró Monzó, Fabián Montesinos, Carmen Seguí, Jesús |
| author_role | author |
| collection | Revista Cirugía del Uruguay |
| dc.creator.none.fl_str_mv | Aguiriano Casanova, María del Mar Ponce Villar, Úrsula Peiró Monzó, Fabián Montesinos, Carmen Seguí, Jesús |
| dc.date.none.fl_str_mv | 2022-01-01 |
| dc.format.none.fl_str_mv | text/html application/pdf |
| dc.identifier.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/4918 10.31837/cir.urug/6.1.5 |
| dc.language.none.fl_str_mv | spa |
| dc.publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| dc.relation.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/4918/4818 https://revista.scu.org.uy/index.php/cir_urug/article/view/4918/4579 |
| dc.rights.none.fl_str_mv | http://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess CreativeCommons by-nc/4.0 |
| dc.source.none.fl_str_mv | Cirugía del Uruguay; Vol. 6 No. 1 (2022): Cirugía del Uruguay; ecir.urug.6.1.5 Cirugía del Uruguay; Vol. 6 Núm. 1 (2022): Cirugía del Uruguay; ecir.urug.6.1.5 Cirugía del Uruguay; v. 6 n. 1 (2022): Cirugía del Uruguay; ecir.urug.6.1.5 1688-1281 0009-7381 reponame:Revista Cirugía del Uruguay instname:Sociedad de Cirugía del Uruguay instacron:Sociedad de Cirugía del Uruguay |
| dc.subject.none.fl_str_mv | diverticulitis tratamiento quirúrgico enfermedades del colon drenaje sigmoide desbridamiento diverticulitis surgical treatment colon diseases drainage sigmoid debridement |
| dc.title.none.fl_str_mv | Perforated diverticulitis causing necrotizing fasciitis of the lower limb Diverticulitis perforada causante de fascitis necrotizante de miembro inferior Diverticulite perfurada causando fasceíte necrosante do membro inferior |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/publishedVersion |
| description | A 59-year-old woman with a history of colon diverticulosis, who presented with pain in the groin region and in the left lower limb of two months of evolution. In the first instance, the patient presented with symptoms of sepsis and an erythema was observed in the left lower limb, associated with cellulitis and subcutaneous crepitus. The CT scan showed an air-fluid collection in the psoas and retroperitoneum that ascends to the abdominal cavity, finding perforated diverticulitis. Surgical treatment was based on drainage of the retroperitoneal collection and sigmoidectomy, followed by fasciotomy, debridement, and washing of the thigh. The perforation of a diverticulum can form an intraperitoneal abscess developing a peritonitis or a retroperitoneal abscess, resulting in a bacterial translocation towards the lower limb, due to the communication existing in the crural ring, generating a necrotizing fasciitis of the limb. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | anni_dc46358e8a545f376644b0149a1f3d2f |
| identifier_str_mv | 10.31837/cir.urug/6.1.5 |
| instacron_str | Sociedad de Cirugía del Uruguay |
| institution | Sociedad de Cirugía del Uruguay |
| instname_str | Sociedad de Cirugía del Uruguay |
| language | spa |
| network_acronym_str | anni |
| network_name_str | oai-lr-anni |
| oai_identifier_str | oai:ojs2.revista.scu.org.uy:article/4918 |
| publishDate | 2022 |
| publishDateSort | 2022 |
| publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| reponame_str | Revista Cirugía del Uruguay |
| repository.mail.fl_str_mv | |
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| spelling | Perforated diverticulitis causing necrotizing fasciitis of the lower limb Diverticulitis perforada causante de fascitis necrotizante de miembro inferiorDiverticulite perfurada causando fasceíte necrosante do membro inferiorAguiriano Casanova, María del MarPonce Villar, ÚrsulaPeiró Monzó, FabiánMontesinos, CarmenSeguí, Jesúsdiverticulitistratamiento quirúrgicoenfermedades del colondrenajesigmoidedesbridamientodiverticulitissurgical treatmentcolon diseasesdrainagesigmoiddebridementA 59-year-old woman with a history of colon diverticulosis, who presented with pain in the groin region and in the left lower limb of two months of evolution. In the first instance, the patient presented with symptoms of sepsis and an erythema was observed in the left lower limb, associated with cellulitis and subcutaneous crepitus. The CT scan showed an air-fluid collection in the psoas and retroperitoneum that ascends to the abdominal cavity, finding perforated diverticulitis. Surgical treatment was based on drainage of the retroperitoneal collection and sigmoidectomy, followed by fasciotomy, debridement, and washing of the thigh. The perforation of a diverticulum can form an intraperitoneal abscess developing a peritonitis or a retroperitoneal abscess, resulting in a bacterial translocation towards the lower limb, due to the communication existing in the crural ring, generating a necrotizing fasciitis of the limb.Mujer de 59 años, con antecedentes de diverticulosis de colon, que acude por dolor en la región inguinal y en el miembro inferior izquierdo de dos meses de evolución. En una primera instancia, la paciente se presentó con clínica de sepsis y se objetivó un eritema en el miembro inferior izquierdo, asociado a celulitis y crepitación subcutánea. La TC mostraba una colección hidroaérea en psoas y retroperitoneal que asciende hasta la cavidad abdominal hallándose una diverticulitis perforada. El tratamiento quirúrgico se basó en el drenaje de la colección retroperitoneal y sigmoidectomía, seguido de una fasciotomía, desbridamiento y lavado del muslo. La perforación de un divertículo puede formar un absceso intraperitoneal desarrollando una peritonitis o un absceso retroperitoneal, derivando en una translocación bacteriana hacia la extremidad inferior, debido a la comunicación existente en el anillo crural, generando una fascitis necrotizante del miembro.Mulher de 59 anos com história de diverticulose de cólon, que apresentou dor em região inguinal e em membro inferior esquerdo com dois meses de evolução. No primeiro caso, a paciente apresentou quadro séptico e observou-se eritema em membro inferior esquerdo, associado a celulite e crepitação subcutânea. A tomografia computadorizada revelou coleção hídrica em psoas e retroperitônio que sobe para a cavidade abdominal, encontrando diverticulite perfurada. O tratamento cirúrgico foi baseado na drenagem da coleção retroperitoneal e sigmoidectomia, seguida de fasciotomia, desbridamento e lavagem da coxa. A perfuração de um divertículo pode formar um abscesso intraperitoneal evoluindo para uma peritonite ou um abscesso retroperitoneal, resultando em uma translocação bacteriana para o membro inferior, devido à comunicação existente no anel crural, gerando uma fasciíte necrotizante do membro.Sociedad de Cirugía del Uruguay2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://revista.scu.org.uy/index.php/cir_urug/article/view/491810.31837/cir.urug/6.1.5Cirugía del Uruguay; Vol. 6 No. 1 (2022): Cirugía del Uruguay; ecir.urug.6.1.5Cirugía del Uruguay; Vol. 6 Núm. 1 (2022): Cirugía del Uruguay; ecir.urug.6.1.5Cirugía del Uruguay; v. 6 n. 1 (2022): Cirugía del Uruguay; ecir.urug.6.1.51688-12810009-7381reponame:Revista Cirugía del Uruguayinstname:Sociedad de Cirugía del Uruguayinstacron:Sociedad de Cirugía del Uruguayspahttps://revista.scu.org.uy/index.php/cir_urug/article/view/4918/4818https://revista.scu.org.uy/index.php/cir_urug/article/view/4918/4579http://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessCreativeCommons by-nc/4.0oai:ojs2.revista.scu.org.uy:article/49182026-06-16T04:54:30Z |
| spellingShingle | Perforated diverticulitis causing necrotizing fasciitis of the lower limb Aguiriano Casanova, María del Mar diverticulitis tratamiento quirúrgico enfermedades del colon drenaje sigmoide desbridamiento diverticulitis surgical treatment colon diseases drainage sigmoid debridement |
| status_str | publishedVersion |
| title | Perforated diverticulitis causing necrotizing fasciitis of the lower limb |
| title_full | Perforated diverticulitis causing necrotizing fasciitis of the lower limb |
| title_fullStr | Perforated diverticulitis causing necrotizing fasciitis of the lower limb |
| title_full_unstemmed | Perforated diverticulitis causing necrotizing fasciitis of the lower limb |
| title_short | Perforated diverticulitis causing necrotizing fasciitis of the lower limb |
| title_sort | Perforated diverticulitis causing necrotizing fasciitis of the lower limb |
| topic | diverticulitis tratamiento quirúrgico enfermedades del colon drenaje sigmoide desbridamiento diverticulitis surgical treatment colon diseases drainage sigmoid debridement |
| url | https://revista.scu.org.uy/index.php/cir_urug/article/view/4918 |