Inguinal fasciitis “under the mask” of epididymitis
DOI:
https://doi.org/10.11603/2414-4533.2021.3.12550Keywords:
gauze tampons of the “palisade” typeAbstract
The topical issue of purulent surgery – treatment of patients with necrotizing fasciitis is considered in the work. This disease is manifested by sepsis and endotoxicosis. Mortality under treatment reaches 30–80 %. Mortality in untreated patients is 100 %. The problem is relevant because the number of such patients has increased 2–6 times over the past 10 years.
In this work the case of treatment of a patient with necrotizing fasciitis with its inguinal localization is analyzed.
In the available literature, we found an analysis of patients with necrotizing fasciitis with multilocular localization. But we did not encounter a situation identical to our case. The paper describes the primary surgery for “so-called” epididymitis. In addition, the symptoms that helped to suspect the presence of necrotizing fasciitis were indicated. Data on the histopathological analysis of the operative material are given and further surgical tactics are described.
This case is instructive in that it indicates a possible atypical course of necrotizing fasciitis, in particular in the groin area. In addition, in this patient, the primary necrosis was manifestly localized in adipose tissue and superficial fascia of the body near the outer opening of the axillary canal.
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