Inguinal fasciitis “under the mask” of epididymitis

Authors

  • O. B. Pryima Truskavets Municipal Hospital

DOI:

https://doi.org/10.11603/2414-4533.2021.3.12550

Keywords:

gauze tampons of the “palisade” type

Abstract

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.

References

Aliev, S.A., Aliev, E.S., & Zeynalov, V.M. (2014). Bolezn Fournie v svete sovremennyh predstavleniy [Fournier's disease in the light of modern ideas]. Hirurgiya – Surgery, 4, 34-39 [in Russian].

Timerbulatov, V.M., Khasanov, A.G., & Timerbulatov, M.V. (2009). Fournie gangrena [Fournier's gangrene]. Hirurgiya – Surgery, 3, 26-28 [in Russian].

Grinev, M.V., & Kir, M. (2008). Nekrotyziruyushiy fastsit [Necrotizing fasciitis]. Saint-Petersburg: Gipocrat [in Russian].

Stoyanovsky, I.V. (2013). Multyfocalnyi nekrotyzuiuchyi fastsyt opys vypadku i analiz literatury [Multifocal necrotizing fasciitis: case description and literature analysis]. Hospitalna Khi­rurhiia. Zhurnal imeni L. Ya. Kovalchuka – Hospital Surgery. Journal named after L.Ya. Kovalchuk. Retrieved from: https://doi.org/10.11603/1681-2778.2013.3.1814 [in Ukrainian].

Pryima, O.B., Fedorovych, I.V., KORIN, V.V., Olenych, G.Ya. (2017). Gangrena Furnie yak urohenitalna forma nekrotyzuiuchoho fastsyitu – model krytychnoho stanu orhanizmu v khirurhii [Fournier's gangrene as a urogenital form of necrotizing fasciitis is a model of a critical condition of the body in surgery]. Hospitalna Khirurhiia. Zhurnal imeni L. Ya. Kovalchuka – Hospital Surgery. Journal named after L.Ya. Kovalchuk, 1, 81-84 [in Ukrainian].

Altarac, S., Katusin, D., & Crnica, S. (2012). Fournier’s gangrene: etiology and outcome analysis of 41 patients. Urol. Int., 88 (3), 289-293.

Barreda, J.T., Scheiding, M.M., & Fernandez, C.S. (2010). Fournier’s gangrene. A retrospective study of 41 cases. Cir. Esp., 87 (4), 218-223.

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Published

2021-12-03

How to Cite

Pryima, O. B. (2021). Inguinal fasciitis “under the mask” of epididymitis. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 116–119. https://doi.org/10.11603/2414-4533.2021.3.12550

Issue

No. 3 (2021)

Section

REPORTS

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