Perineal gangrene in the patient with granulocytopenia: the importance of early diverting colostomy.

Abstract:

:Perirectal and perineal infections represent a life-threatening complication of hematologic diseases associated with granulocytopenia. Early and aggressive surgical management is essential. This should include hemodynamic support and monitoring, broad-spectrum antibiotics, wide surgical debridement, and a totally diverting colostomy. The prognosis of these infections parallels that of the underlying hematologic disease. Three patients seen on a university surgical service whose clinical management and course underscore these principles are presented.

journal_name

Surgery

journal_title

Surgery

authors

Hiatt JR,Kuchenbecker SL,Winston DJ

subject

Has Abstract

pub_date

1986-11-01 00:00:00

pages

912-5

issue

5

eissn

0039-6060

issn

1532-7361

pii

0039-6060(86)90236-9

journal_volume

100

pub_type

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